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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itchy Scalp, Flakes In Eyebrows Despite Good Hair Care? Was Diagnosed With Psoriasis, Prescribed Antibiotics

a while ago my doctor said i had psorasis after looking at my skin because i repeatedly was getting sick and needing antibiotics because of the virus. shortly after i went to a dermatologist to talk about my skin and flakes in my eyebrows and hair. mentioned what my doctors said about psoraisis. she said no just dandruff. a little insight would be nice as to why now a year later my scalp is always itchy and completely covered in dandruff or flakes or whatever it is. im of black, i wash my hair every week. i grease it . i scratch the dandruff off. idk whats going on.
Fri, 3 Jan 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM

Seborrhoeic dermatitis OR Dandruff can affect the scalp, face(eyebrows, eyelashes, sides of nose, chin), chest, back and area behind the ear etc.

Clinically it presents as itchy, ill-defined erythematous lesions with adherent greasy and yellowish scaling which when scrapped or picked with nails oozes sticky liquid.

Keeping the scalp clean with either daily OR alternate day shampooing and avoidance of greasy products on scalp helps in resolving the condition.

I advice my patients of seborrhoeic dermatitis to use an anti-fungal shampoo twice OR thrice weekly(can also be used once OR even twice daily depending upon the requirement).

If shampoo is not enough i ask my patient to use a topical steroid lotion twice daily for 2-4 weeks.

Once the scaling and erythema subsides it is important to stop the steroid lotion but continue with an anti-fungal shampoo for maintaining the improvement.

take care
regards
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What Causes Itchy Scalp, Flakes In Eyebrows Despite Good Hair Care? Was Diagnosed With Psoriasis, Prescribed Antibiotics

Hi. Thanks for posting your concern at HCM Seborrhoeic dermatitis OR Dandruff can affect the scalp, face(eyebrows, eyelashes, sides of nose, chin), chest, back and area behind the ear etc. Clinically it presents as itchy, ill-defined erythematous lesions with adherent greasy and yellowish scaling which when scrapped or picked with nails oozes sticky liquid. Keeping the scalp clean with either daily OR alternate day shampooing and avoidance of greasy products on scalp helps in resolving the condition. I advice my patients of seborrhoeic dermatitis to use an anti-fungal shampoo twice OR thrice weekly(can also be used once OR even twice daily depending upon the requirement). If shampoo is not enough i ask my patient to use a topical steroid lotion twice daily for 2-4 weeks. Once the scaling and erythema subsides it is important to stop the steroid lotion but continue with an anti-fungal shampoo for maintaining the improvement. take care regards