Suggest Treatment For Persistent White Patches On Scalp
Possibility of psoriasis
Detailed Answer:
Hello and welcome to healthcaremagic
I am Dr. Kakkar. I have gone through your query, I would keep a possibility of scalp psoriasis. Though I would prefer a few photographs for confirmatory diagnosis
Psoriasis affects the scalp with well defined plaques with adherent, thick scaling.
Normal shampoo wont benefit much in psoriasis affecting the scalp. 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
Hello Doctor, I am not able to upload the pics of my scalp here (in the upload reports section). Is there another e-mail or something that I could mail them to?
Regards,
XXXX
Upload Photographs
Detailed Answer:
Hi.
For uploading of photographs you may go to the reports section OR else you may email the photographs at YYYY@YYYY with the subject line as "Attention Dr. Kakkar".
If you still find any difficulty you can mail me directly on YYYY@YYYY
Regards
Thanks for your response. I am sending you the photographs. Please see if they help in confirming your preliminary diagnosis of my condition as "Scalp Psoriasis". Please suggest the medicines that I need to start using. Thanks.
Regards,
Scalp psoriasis
Detailed Answer:
Hi.
I have reviewed the photographs.
Yes, this is 'scalp psoriasis".
I would suggest using Protar Shampoo, every Alternate day
Topically you may apply Topisal-6% lotion twice daily to the affected area/patches for 2 weeks.
An oral antihistamine e.g cetrizine 10 mg once daily would provide symptomatic relief from itching.
Follow up after 2 weeks
Regards