What causes an itchy scalp that shed small piece of skin and some blood when scratched?
Diagnostic possibilities for itchy scalp scaly patches /plaques
I am Dr kakkar (Dermatologist and Venereologist). I have noted your concern.
It could be either scalp DLE (Discoid Lupus Erythematous) which presents as patches/plaques with adherent white scaling, atrophy and depigmentation Or it may be Seborrheic dermatitis of the scalp which presents as dull red patches with yellowish greasy scaling and scalp itching.
I request you to kindly upload a few images of the affected area so that I am able to confirm and guide you better.
Images not received
No. I didn't. I request you to kindly try and upload the images again in "Reports Section" or else you may mail me the images at YYYY@YYYY with the subject line of the mail as Attention :Dr.. Kakkar.
ANA and elevated ESR and CRP at times. Symptoms of that have been muscle and joint pain, stiffness and generalized fatigue all relieved with 10-40 mg prednisone daily. Now on 10mg per day and trying to taper. The rheumatologists gave me no answer but that I did not have SLE but I think they are all wrong.
I have viewed the images.
I think you have seborrheic dermatitis. I can see yellowish/ greasy looking scale and erythema of the scalp.
I suggest you to use a Ketoconazole based shampoo e.g Nizoral or Nizral shampoo. Lather it well on to wet scalp and allow it to act for 7-10 minutes before rinsing it off. Use daily.
In addition to this I suggest you to apply a topical steroid lotion e.g Mometasone furoate lotion, twice daily.
Anti ds DNA is a specific marker for SLE.
Hope I have answered your query.
Dr. Kakkar S
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