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Dandruff, itchy scalp, flakes falls after scratching, bleeds while combing, feels like lumps. What is the treatment?

Dear Doctor, I am suffering from severe dandruff . Itching is severe. When I scratch white powder like is falling and there are flakes also. When I try to remove it with comb it is bleeding. I can find lumps like accumulated where the dandruff is severe. Now there are patches like visible on the forehead also. Please help me out. Thanks Meenu
Asked On : Sat, 2 Jun 2012
Answers:  2 Views:  353
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Dermatologist 's  Response
Hi...dear meenu..,
Thanks for choosing HCM..,
White powder like with flakes and get.,
bleeding on combing...usually due to..,
PSORIATIC CAPITIS....it is chronic papulo-squamous..,
genetic determined inflammatory problem..,
it is not curable.,
Tar based shampoo is useful....everday morning application..,
after 1 hr do head bath..,
Betamethasone and 6% Salicylic acid gel apply 1 hr after headbath.,
Tab..Methotrexate 7.5 mg weekly once..,
will give very good result..,thanQ
Answered: Fri, 22 Jun 2012
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  User's Response
Dear Meenu,

Your description of complaints could mean simply dandruff but seems to match psoriasis due to flaky scaling. Psoriasis is a peeling disorder and simulates dandruff closely. It is characterized by itching and white scaling. Scratching the affected part may at times cause bleeding. It is best to get it diagnosed. A photograph of the affected part may help or visit a doctor. Conservative treatment has been seen to only control the patches and itching, noticed by relapse of symptoms are discontinuation of the medicines. Homoeopathic medicines have been observed to clear the symptoms without relapse for at least 5 yrs (as per my experience). I will be available at radha_doc@yahoo.com for further queries.
Answered: Wed, 20 Jun 2012
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