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Suggest treatment for dandruff and red spot on scalp

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Posted on Sat, 6 Sep 2014
Question: i have red spot and dandruff on my scalp so what i have to do.
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Answered by Dr. Kakkar S. (1 hour later)
Brief Answer:
Scalp psoriasis

Detailed Answer:
Hello and welcome to healthcaremagic

I am Dr. Kakkar. I have gone through your query, I have seen the prescription dated 5th may 2014.

I would keep a possibility of scalp psoriasis. Though I would prefer a few clinical photographs for confirmatory diagnosis. I would also like to know the response to treatment that was tried.

Psoriasis affects the scalp with well defined plaques with adherent, thick scaling.

For scalp psoriasis, I prefer to start my patients on a medicated shampoo e.g coal tar+salicylic acid based shampoo.

Along with medicated shampoo, I also ask my patients to apply a potent topical steroid lotion with or without salicylic acid, twice daily.

Since psoriasis is a steroid responsive dermatosis, it responds very well to topical steroids, which must be gradually tapered to prevent a rebound flare.

Besides topical steroids, topical Vitamin D analogues like calcipotriol lotion can also be used for scalp psoriasis.

These are prescription medications, I would suggest that you consult your dermatologist before trying these out.

Unfortunately the disease can relapse after seemingly complete cure. The course of psoriasis is indeed marked by remissions and relapses and available treatment options can only induce the disease into remission, rather than permanently cure it.

Regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8980 Questions

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Suggest treatment for dandruff and red spot on scalp

Brief Answer: Scalp psoriasis Detailed Answer: Hello and welcome to healthcaremagic I am Dr. Kakkar. I have gone through your query, I have seen the prescription dated 5th may 2014. I would keep a possibility of scalp psoriasis. Though I would prefer a few clinical photographs for confirmatory diagnosis. I would also like to know the response to treatment that was tried. Psoriasis affects the scalp with well defined plaques with adherent, thick scaling. For scalp psoriasis, I prefer to start my patients on a medicated shampoo e.g coal tar+salicylic acid based shampoo. Along with medicated shampoo, I also ask my patients to apply a potent topical steroid lotion with or without salicylic acid, twice daily. Since psoriasis is a steroid responsive dermatosis, it responds very well to topical steroids, which must be gradually tapered to prevent a rebound flare. Besides topical steroids, topical Vitamin D analogues like calcipotriol lotion can also be used for scalp psoriasis. These are prescription medications, I would suggest that you consult your dermatologist before trying these out. Unfortunately the disease can relapse after seemingly complete cure. The course of psoriasis is indeed marked by remissions and relapses and available treatment options can only induce the disease into remission, rather than permanently cure it. Regards