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Red bumps on scalp. Bleeding when scab removed, draining clear fluid. Hair loss. Scalp psoriasis?

my 4 year old daughter has some small red bumps on her scalp and some of them have gotten very big since the first one appeared two weeks ago. There is also scaling on the scalp and bigger patches of scaling on the scalp. When I took the scab off one of them, it bled and secreted a little bit of clear fluid from it. On the biggest two, she has lost hair as well and her hair is very long. Do you think this is scalp psoriasis or ringworm of the scalp? Also, if you think it is scalp psoriasis, is it curable?
Asked On : Tue, 27 Nov 2012
Answers:  1 Views:  491
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Pediatrician 's  Response

Scaling of scalp is seen in Scalp Psoriasis or Seborrheic dermatitis (dandruff) of the scalp.
Both of them can present with scales, itching and hairloss.

But the scales that bleed on removal is more in favour of scalp Psoriasis.
Does she have scaling in other areas like elbow, knees etc? If so it also favours Psoriasis.

Yes, scalp psoriasis can be treated. Usually to start with doctors will give you shampoos with salicylic acid and coal tar. If severe, then oral medications will be prescribed. How ever some difficult to treat cases are also seen!

Before concluding, please do visit a dermatologist, get the diagnosis confirmed and follow his advice.

Hope my answer helps you.
Best wishes.
Answered: Tue, 27 Nov 2012
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