Get your Health question answered in 3 easy steps

163 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for white spots and itchiness on head

Answered by
Dr.
Dr. Kalpana Pathak

Dermatologist

Practicing since :2006

Answered : 2015 Questions

default
Posted on Thu, 21 Aug 2014 in Skin Hair and Nails
Question: I have white spots and itch in my head and I went to the doctor and I have been using different kinds of shampoo but with no result
doctor
Answered by Dr. Kalpana Pathak 52 minutes later
Brief Answer:
could be seborrheic dermatitis or psoriasis

Detailed Answer:
Hi,
Thanks for writing to us.
From the description it seems either it is seborrheic dermatitis or psoriasis scalp.
In SD you get itchy red lesions with greasy scales while in psoriasis one gets well defined red round plaques covered qith thick dry silvery scales.
Please upload a pic of scalp, so that I can make a probable diagnosis and suggest appropriate treatment. Also let me know what medicines you have used so far.
Hoping to hear from you soon
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Kalpana Pathak 35 minutes later
it white spots and sometimes red itch and when I use the shampoo it decrease and for almost 1 or 2 days and then return back quickly and I have been in this situation for almost a year
doctor
Answered by Dr. Kalpana Pathak 19 hours later
Brief Answer:
details below

Detailed Answer:
Hi,
Thanks for writing to us.
I have seen the pics attached. I can just see a small red lesion with no overlying scales. Probably the use of medicated shampoo has removed the scales.
As the lesion is localised and single, its difficult to say whether its SD or psoriasis.Treatment in such localised cases of SD or psoriasis remains the same.
I would advise you to use a ketoconazole and tar/salicylic acid based shampoo, three times in a week. Apply it over scalp keep it for five to 10 minutes then wash off. Also apply a steroid lotion over affected area twice in a day. Once the lesion is gone, continue the shampoo once in a week to prevent recurrence.
SD or psoriasis both can be brought under remission and control, however cant be cured. Sometimes once under remission these might not occur for long time. SD usually occurs in an oily scalp and is itchy.Psoriasis lesions are not usually itchy. If your scalp is oily, avoid using oil over scalp and wash it quite frequently.

Hope this helped.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,  

Recent questions on Ketoconazole

doctor1 MD

Hi, My husband has pus filled pimples in the backside of his head. He has very oily hair. We have observed that they come up whenever he has sweets or his hair becomes very oily. They usually come and go very frequently. It has been like this for...

doctor1 MD

Hi i have vag discomfort i know i have yeast n urinary tract but i also have lesions that itch n burn from mybbotton to my vag

doctor1 MD

Hello Doc, I am having small to medium bald patches on vertex to front elevated side of scalp and few towards back. This is there since pas 5 months, for sometime they dissapear and now i had close cut and they reappeared back, when closely...

doctor1 MD

I had a case if jock itch and now the rash is gone but my testicles are inflamed and itch like crazy. nothing seems to sooth the itching and it at a point i cant sleep. do I still continue to use the Ketoconazole i was given by my Dr. or is this something else?

doctor1 MD

Hello, my 19 month old A.A. daughter has blisters on various parts of her scalp. They first appear as a red, irrated spots. Then they turn into these white pus filled blisters. They break on their own and go away, then reappear on another part of the scalp. This has been going on for about 3 months now. the dermatologis said it was a ringworm, but I dont' believe it is. I was using Nizoral shampoo and naffitin gel on her scalp, but it hasn"t helped much. What else can i do for my daughter?

doctor1 MD

HI, I am 31 weeks pregnant and i am getting skin peeling in my finger tip that spreading to fingers, i have some itchiness too. i ask my OBGYN and he advised some anti fungal cream, i am using ketoconazole for 3-4 days BID but i think it is not getting better and getting worse. i will appreciate your input

doctor1 MD

I had slight burning sensation on penis glans. thn i consulted wth doctors. tested vdrl non reactive on 30 days. given Doxycycline oral tab and Ketoconazole lotion. now i am feeling ok from last 15 days. just 2 months over from 1st symptoms. so is it kk fr me?