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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Suggest treatment for dry and itchy scalp

Answered by
Dr.
Dr. Charu Bansal

Dermatologist

Practicing since :2010

Answered : 773 Questions

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Posted on Mon, 6 Jul 2015 in Skin Hair and Nails
Question: A few months ago my scalp became dry and itchy above the nape of my neck.. now it's flaky like scales and still itches. It also started to become itchy in two other spots now and flaky. What is this? How can I treat it?
doctor
Answered by Dr. Charu Bansal 29 minutes later
Brief Answer:
seborrhoeic capitis/scalp psoriasis

Detailed Answer:
Hello. Welcome to Healthcaremagic.com.
I have read your query.
I understand your concern.
As per details, there are following possibilities for your symptoms :
1 ) Seborrhoeic capitis - it is characterised by fine scales covering scalp diffusely. It is usually associated with itch.
2)Scalp Psoriasis- it is characterised by well defined patches of scales with erythema on background involving scalp.
Scales in psoriasis are thick and coarse.
itch is usually mild or absent.
Treatment depends on the diagnosis.
You can upload the images of the affected area so that I can help you to my best.
Visit your doctor so that he can examine you and give you prescription.
Till then you can use ketoconazole based shampoo for washing scalp.
You can share my opinion with him.
I hope it helps.
Stay healthy.
Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
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Follow up: Dr. Charu Bansal 1 hour later
Hi, thanks for your reply. I uploaded a few pictures onto my profile of the back of my neck. It's hard to get a good picture of it.
doctor
Answered by Dr. Charu Bansal 18 minutes later
Brief Answer:
kindly upload images

Detailed Answer:
Its my pleasure to help you here.
I couldn't find any attachments. I guess they are not uploaded.
kindly reupload the images.
Thanks
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Charu Bansal 7 hours later
I tried to upload them again on my profile and sent the pictures via email addressed to you throigh YYYY@YYYY

Thank you for your time.
doctor
Answered by Dr. Charu Bansal 7 hours later
Brief Answer:
seborrhoeic dermatitis is most likely possibility

Detailed Answer:
Hello. Welcome back.
I have received the attached images.
I could appreciate erythematous plaque at the nape of neck.
It looks like seborrhoeic dermatitis to me.
In such cases, I prefer to advise topical steroid like halobetasone lotion on scalp over affected area and mometasone cream on neck patches.
Anti dandruff shampoo containing ketoconazole or cetrimide also helps.
Avoid hair oil application.
Visit your doctor as you would need a prescription for the same.
You can share my opinion with him. I hope it helps.
Take care
Above answer was peer-reviewed by : Dr. Prasad
doctor
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