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Child with sores on scalp. Biopsy report normal. Tried different shampoos. What to do?

hi my daughter is 101/2 she has had these sores on her scalp on top for a year now we hae seen a dermetologist adn shampoo creams averything and a biopsy it came back nothing but picking the school has kept an eye on her and she is not picking or at home she swares she doesnt pick the dermatoplogist says she needs a sycitrist we dont feel this at all we are at whits ends what to do her head is very tender to brush and we are very carefull they are open sores bellding at times some are healed still pink some have puss in them and we have tried a hat at night nothing is working we are trying zink shampoos everything can you help please?? kim i dont have any money i would love to get an answer
Asked On : Mon, 28 Jan 2013
Answers:  1 Views:  50
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Dermatologist 's  Response
Dec 2013
Welcome and thanks for posting your query to Healthcare Magic.
After reading your query it appears the best possibility appears to be "Seborrhea capitis" or a case of moderate to high "Pityriasis capitis".
The scalp skin secrets oil continuously and the secretions of oil glands are deposited on the local area. These secretions itself leads to subsequent blockage of the glands and so leads to mild inflammation of the area. There after the continuous secretion and the mild inflammation leads to yellowish dry crusting of the area. So it leads to the kind of appearance which is like cradle cap.
-you should make the best thing that your kid is not touching, pinching, poping or squeezing the area by any means
-Wash her scalp daily if she do not have long hair or if long hair are present then can do alternate days.
- Maintain scalp hygiene. DO not apply any hair oil or any home remedies as can irritate the skin.
Apply a cream containing Fluticasone with mupirocin on it for two times a day. You can apply two times a day in such a thin layer that it should be visible by naked eye. Do not apply beyond 7 days of period.
She will be alright by your tender and gentle care, be positive and enthusiastic towards her recovery.
Hope these information will help.
"With good health wishes"

Dr Sanjay Kumar Kanodia
MD (Dermatology & STDs)
Answered: Fri, 26 Jul 2013
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