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Suggest Treatment For Mild To Moderate Infection Over The Scalp

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Posted on Tue, 5 May 2015
Question: I usually have a small patch of psoriasis on my scalp, I had a car accident a couple of weeks ago where I injured my neck, shoulder, back, would this have inflamed the psoriasis? Yesterday I noticed some of my hair was sticky, a clear sticky substance. Now it is increasing to a larger area. My head is pounding.
doctor
Answered by Dr. Sanjay Kumar Kanodia (20 minutes later)
Brief Answer:
Mild to moderate infection over the scalp: various suggestions.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the problem over scalp.

After analyzing your query I can get that you have got mild to moderate infection over the scalp. Though in psoriasis we don't commonly find infections. But some of the times in case if the scalp hygiene is not maintained properly then the area can get infected and that can cause oozing of fluids from the affected area.

There are certain important suggestion regarding your problem:

1. Do not pinch, pop or even try to touch any of the area.

2. Kindly avoid scratching any area of normal skin also, as it leads to minor entry points for the entry of bacteria.

3. Maintain proper hygiene and take two times daily bath.

4. Wash your scalp daily or on alternate days. Use a medicated shampoo with anti-bacterial property to wash your hair shampoo.

5.Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp.

6. You can apply an antibiotic cream such as Mupirocin or fucidin at the affected area. A pain killer such as paracetamol can be taken in case if there is any pain over the area. Do not try to touch or pinch the area. If there is any swelling then should report to the treating doctor.

Wish you good health.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sanjay Kumar Kanodia (5 hours later)
Thank you.

I typically wash my hair every other day with a shampoo/conditioner. I found and used Clobetasol Propionate shampoo and left on scalp for about 30 minutes, lathered and rinse and used an Aveeno oatmeal based shampoo. My scalp is so itchy but will try to avoid scratching it. So I don't need to take an oral antibiotic then.

Cordially, XXXXXXX XXXXXXX
doctor
Answered by Dr. Sanjay Kumar Kanodia (4 hours later)
Brief Answer:
Tablet containing Des-loratadine can be taken for 2 times a day.

Detailed Answer:
Dear Mam,

Welcome back and thanks a lot for your further follow up.

You can continue to use the shampoo and its good combination to use Clobetasol Propionate shampoo and Aveeno oatmeal based shampoo. I suggest you to do daily wash of the scalp. You can use one Clobetasol Propionate shampoo on one day and Aveeno oatmeal based shampoo on the other day.

The basic cause of oozing is due to scratching and resultant mild excoriated areas. These areas can ooze fluids and on repeated touching might get infected.

In your kind of cases where there is lot of itching is present then I prescribe a tablet containing Des-loratadine ( Tab Claritin) for 2 times a day.

In case if you have itching only then there is no need to take an oral antibiotic. But if you feel any severe irritation or pain then you may require an oral antibiotic.

Just follow the suggestion as discussed in the previous mail. My all best wishes for your earliest recovery.

Wish you good health.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Suggest Treatment For Mild To Moderate Infection Over The Scalp

Brief Answer: Mild to moderate infection over the scalp: various suggestions. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for the problem over scalp. After analyzing your query I can get that you have got mild to moderate infection over the scalp. Though in psoriasis we don't commonly find infections. But some of the times in case if the scalp hygiene is not maintained properly then the area can get infected and that can cause oozing of fluids from the affected area. There are certain important suggestion regarding your problem: 1. Do not pinch, pop or even try to touch any of the area. 2. Kindly avoid scratching any area of normal skin also, as it leads to minor entry points for the entry of bacteria. 3. Maintain proper hygiene and take two times daily bath. 4. Wash your scalp daily or on alternate days. Use a medicated shampoo with anti-bacterial property to wash your hair shampoo. 5.Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp. 6. You can apply an antibiotic cream such as Mupirocin or fucidin at the affected area. A pain killer such as paracetamol can be taken in case if there is any pain over the area. Do not try to touch or pinch the area. If there is any swelling then should report to the treating doctor. Wish you good health. Regards, Dr Sanjay Kumar Kanodia MD- Dermatology