Welcome to healthcare magic.
From your history and description, it seems to me that you may be having chronic scalp folliculitis.
It is a bacterial infection of the hair follicle and can become chronic in areas like the scalp and legs.
It could also be associated with scalp itching and dandruff
. Itching can lead to spreading of the lesions as the infection spreads by scratching.
I suggest you the following-
1. You need to take a course of antibiotic Doxycycline 100 mg once a day after breakfast for 6 weeks. This will control the active infection and reduce the frequency and number of sores.
2. You could also apply an antibiotic cream containing 2% Mupirocin
( eg- T.Bact cream) twice a day on the sores. Once the course of oral antibiotic is over, you can use this on and off as and when the sores appear. ( which will become less frequent after the oral antibiotic course)
3. Use a shampoo containing 2% Ketoconazole
( eg- Scalpe) on alternate days. Keep the lather on for 3-5 minutes and then wash it off. This will tackle the dandruff problem.
4. Take B- complex capsules (eg- Becosules-Z) once a day after food for 2 months.
5. Take vitamin C
tablets ( eg - Tab. Limcee 500 mg) once a day for 2 months).
B- complex and vitamin C will boost your immunity.
6. Your hair fall
could be related to dandruff and folliculitis. It could also be hereditary hair fall. If you could upload a clinical picture, I will be able to assess better. ( you have the option of uploading a photograph). You could benefit from taking iral supplements containing Biotin, methionine
and cysteine ( eg- Tab. Follihair
) once a day after food for 2 months.
This problem is chronic and you may notice ovcassional sores popping up. Use the cream as soon as you feel a sore coming up so that it does not spread or become bigger.
Hope this helps you.
If you any any more queries, I will be glad to assist.
Dr. Johny Chacko