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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Itching In Scalp With Skin Flakes

doctor i'm having this typical scalp infection for the past two months wherein there is irritation in thw scalp due to flake like particles which

remain adhered to the scalp and come off on scratching the scalp kindly tell me the name of the infection and how i can get rid of it
Fri, 30 May 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

I would keep a possibility of seborrheic dermatitis of the scalp. Dandruff or seborrheic dermatitis is an important cause of scalp itching. Clinically there may be ill-defined erythema and yellowish/greasy adherent scales which when forcibly scraped/scratched exposes raw skin which oozes scantily and subsequently re-accumulates crusts/scales.

Seborrheic dermatitis patients have an overgrowth of yeast, malassezia furfur which may be pathogenetically related/contributes to the inflammation of seborrheic dermatitis

If I was the treating doctor I would have asked to use an antidandruff lotion/shampoo.

My choice is 2% ketoconazole shampoo, thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution. Ketoconazole is antifungal,antiinflammatory. It inhibits the yeast Malessezia furfur which is present in abundance in seborrheic dermatitis and thus benefits seborrheic dermatitis

regards
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Suggest Treatment For Itching In Scalp With Skin Flakes

Hello and welcome to healthcaremagic I would keep a possibility of seborrheic dermatitis of the scalp. Dandruff or seborrheic dermatitis is an important cause of scalp itching. Clinically there may be ill-defined erythema and yellowish/greasy adherent scales which when forcibly scraped/scratched exposes raw skin which oozes scantily and subsequently re-accumulates crusts/scales. Seborrheic dermatitis patients have an overgrowth of yeast, malassezia furfur which may be pathogenetically related/contributes to the inflammation of seborrheic dermatitis If I was the treating doctor I would have asked to use an antidandruff lotion/shampoo. My choice is 2% ketoconazole shampoo, thrice weekly for 2-4 weeks followed by once or twice weekly for maintenance. It is available OTC as Nizral 2% solution. Ketoconazole is antifungal,antiinflammatory. It inhibits the yeast Malessezia furfur which is present in abundance in seborrheic dermatitis and thus benefits seborrheic dermatitis regards