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Suggest treatment for redness and itching on the scalp

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Posted on Tue, 19 Jul 2016
Question: Any idea what this is?? My scalp gets so red and itchy all over but worse at nape of neck for past 3 years. Some relief w topical steroids but recent oral steroids and injection of hip lead to a flare. Hair loss episodes >200 per day during flares. Rash on abdomen since surgery several years ago not itchy. Rheum w/u neg.
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Answered by Dr. Rahul Kumar (4 hours later)
Brief Answer:
Seborrhea

Detailed Answer:
Hello
Thanks for the query and photograph.
It is looking like severe grade of seborrhea, an allergic reaction compounded with fungal infection.
I treat such cases with a mild steroid containing shampoo like flucinolone and ketoconazol shampoo to be applied on alternate day.
In addition to this you apply a mild steroid lotion like desonide daily in night.
If it becomes severe you can take steroid in pulse form that is steroid to be taken only on Saturday and Sunday every week.
Take antihistamines tablet daily.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Rahul Kumar (42 minutes later)
OK good to know! Thanks for the advice. This helps direct me in my treatment with a more definitive answer.
doctor
Answered by Dr. Rahul Kumar (1 hour later)
Brief Answer:
Welcome

Detailed Answer:
You are most welcome.
Feel free to ask any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
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Answered by
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Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6317 Questions

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Suggest treatment for redness and itching on the scalp

Brief Answer: Seborrhea Detailed Answer: Hello Thanks for the query and photograph. It is looking like severe grade of seborrhea, an allergic reaction compounded with fungal infection. I treat such cases with a mild steroid containing shampoo like flucinolone and ketoconazol shampoo to be applied on alternate day. In addition to this you apply a mild steroid lotion like desonide daily in night. If it becomes severe you can take steroid in pulse form that is steroid to be taken only on Saturday and Sunday every week. Take antihistamines tablet daily. Let me know if you have any other doubts. Thank you.