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Suggest Treatment For Psoriasis On Head

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Posted on Thu, 27 Aug 2015
Question: Hello doctor recently I found psoriasis on my head and getting treatment from 10 days using ketoconazole and salicylic acid shampoo & clobederm-s. But still I am not recover, how much days for this treatment .
doctor
Answered by Dr. Sanjay Kumar Kanodia (48 minutes later)
Brief Answer:
It takes around 3- 4 weeks in scalp to show the improvement.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum. I can understand your concern for the psoriasis of scalp.

I can make out you have been following proper treatment but still not getting good results in 10 days.

Before I proceed let you know certain important points in relation to scalp psoriasis.

Scientifically and medically our skin is a multiple layered structure. Our skin gets renewed every day. The layer which is present on the top today will be fallen off tomorrow.

Now in some persons it is renewed at a faster pace. Our superficial skin is renewed in every 28 days. If the process of renewal occurs at fast pace in 4-5 days rather than 28 days it leads to this chronic relapsing condition of psoriasis.

Psoriasis of scalp needs proper best management in form of maintenance of scalp hygiene to reduce the accumulation of excessive deposition of flakes and scales.

We can not change our own tendency to renew the skin but the personal measures of hygiene as well as the environmental factors can be modified to reduce the accumulation.

Wash your scalp daily. I guide my patients to wash twice in a single bath. It means when you are washing your scalp apply first time shampoo for washing the hair part only, then rinse it off immediately with water. Reapply the shampoo again immediately, leave it for around 5 minutes, do a good gentle massage by your fingers for around 2 minutes and then wash it off. By doing so for around 7 days you will get good benefit. So you can use ketoconazole and salicylic acid lotion shampoo as guided above.


You should use the clobederm -s lotion for two times. Apply very gently over the scalp skin in day and night time. Once you get the improvement then can be reduced to one time and then alternate days.

Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp. Comb your hair at least 3-4 times a day and most importantly at night time so that the dust particle and other of dead skin is taken off.

It takes around 3- 4 weeks in scalp to show the improvement. SO have patience for the same.

I hope this information will help you.

Regards,

Dr Sanjay Kumar Kanodia
MD (Dermatology & STD)
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (37 minutes later)
in this time i can go for bald or hair cuttting ?
doctor
Answered by Dr. Sanjay Kumar Kanodia (28 minutes later)
Brief Answer:
It is always better to have shorter or trimmed hair as short as possible.

Detailed Answer:
Hello,

Welcome back and thanks for swift follow up.

It is always better to have shorter or trimmed hair as short as possible. This is always better because the shampoo as well the medication reaches directly on scalp skin. So you can accrdingly go for as short hair as possible.

My all best wishes for your earliest recovery.

With regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (19 minutes later)
thank you doctor, i noticed today i have a hard skin and black coloured skin in penis .. so which doctor i have to consult is uriologist or skin specialist ?
doctor
Answered by Dr. Sanjay Kumar Kanodia (18 hours later)
Brief Answer:
You need to consult a dermatologist.

Detailed Answer:
Hello,

In case of hard skin and black colored skin of penis you need to consult a dermatologist. It is basically dealt by a skin specialist as it is related to the skin condition.

Hope it helps.

With regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (7 days later)
Hello sir, i am suffering form Scalp psoriasis as i mentioned before chat.
I Used 15 days of ketoconazole and salicylic acid shampoo & clobederm-s lotion on head . So i visited the doctor today again he pescribed propysalic NF Lotion and KZ Lotion .

My thing is by useing clobederm-s lotion & ketoconazole and salicylic acid shampoo
am getting boil pimples in my forehead ,its full of pmples in my forehead.

so now i dont want to try propysalic NF Lotion on my head sir... can u seggest me KZ Lotion s enough to prevent psoraisis ?
doctor
Answered by Dr. Sanjay Kumar Kanodia (5 hours later)
Brief Answer:
You can use ketoconazol shampoo.

Detailed Answer:
Hello,

Welcoem back and thanks for your folow up.

I suggest you to stop any steroid based lotion. I also suggest you to wash your scalp daily for two times. As I guided you beofre to wash twice in a single bath.

It means when you are washing your scalp apply first time shampoo for washing the hair part only, then rinse it off immediately with water. Reapply the shampoo again immediately, leave it for around 5 minutes, do a good gentle massage by your fingers for around 2 minutes and then wash it off.

In the evening time you can just wash for a single time. You can use ketoconazol shampoo as guided above.

Hope it helps.

With regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (7 minutes later)
sir can i use the kz lotion shampoo 2 times a day ? how long can i use ..

and my head consists of black patches looks like mud in some areas about 30%
doctor
Answered by Dr. Sanjay Kumar Kanodia (49 minutes later)
Brief Answer:
You can use KZ shampoo for two times for a week period.

Detailed Answer:
Dear young fellow,

You can use KZ shampoo for two times for a week period. If you wash properly then the black patches will reduce in promptly.

With regards,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (1 hour later)
sir i am confused now....
i have to wash my scalp daily 2 times with any normal shampoo or kz lotion
pescribe me sir ...

now my head is white patches and black patches sir

can i use clear gel for pimples ?

feeling iilll
doctor
Answered by Dr. Sanjay Kumar Kanodia (1 hour later)
Brief Answer:
You can use clear gel for your pimples.

Detailed Answer:
Dear XXXXXXX

As I guided you in previous XXXXXXX you can wash your scalp with ketoconazole shampoo. Was it for two times for 7 days.

You can use clear gel for your pimples.

With regards,
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Suggest Treatment For Psoriasis On Head

Brief Answer: It takes around 3- 4 weeks in scalp to show the improvement. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for the psoriasis of scalp. I can make out you have been following proper treatment but still not getting good results in 10 days. Before I proceed let you know certain important points in relation to scalp psoriasis. Scientifically and medically our skin is a multiple layered structure. Our skin gets renewed every day. The layer which is present on the top today will be fallen off tomorrow. Now in some persons it is renewed at a faster pace. Our superficial skin is renewed in every 28 days. If the process of renewal occurs at fast pace in 4-5 days rather than 28 days it leads to this chronic relapsing condition of psoriasis. Psoriasis of scalp needs proper best management in form of maintenance of scalp hygiene to reduce the accumulation of excessive deposition of flakes and scales. We can not change our own tendency to renew the skin but the personal measures of hygiene as well as the environmental factors can be modified to reduce the accumulation. Wash your scalp daily. I guide my patients to wash twice in a single bath. It means when you are washing your scalp apply first time shampoo for washing the hair part only, then rinse it off immediately with water. Reapply the shampoo again immediately, leave it for around 5 minutes, do a good gentle massage by your fingers for around 2 minutes and then wash it off. By doing so for around 7 days you will get good benefit. So you can use ketoconazole and salicylic acid lotion shampoo as guided above. You should use the clobederm -s lotion for two times. Apply very gently over the scalp skin in day and night time. Once you get the improvement then can be reduced to one time and then alternate days. Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp. Comb your hair at least 3-4 times a day and most importantly at night time so that the dust particle and other of dead skin is taken off. It takes around 3- 4 weeks in scalp to show the improvement. SO have patience for the same. I hope this information will help you. Regards, Dr Sanjay Kumar Kanodia MD (Dermatology & STD)