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What Causes Black Flat Spots On The Scalp?

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Posted on Fri, 19 May 2017
Question: Hi,
My 3 month baby has black flat spots on his scalp. It started in left side partion and it is spreading. I dont see him rubbing his head. He sleeps on his left side. Please suggest the further action required
doctor
Answered by Dr. Dr. Rahul Kumar (20 minutes later)
Brief Answer:
Photograph required

Detailed Answer:
Hello
Thanks for the query.

Probably your baby has developed seborrhea.

Can you please upload a photograph of the involved area?

This will help me in giving a closer diagnosis and better way of management. You can simply upload it to the reports section of this web page.

Waiting for your response.
Thank you.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
Pfa images
doctor
Answered by Dr. Dr. Rahul Kumar (11 hours later)
Brief Answer:
Photograph required

Detailed Answer:
Hello
I could not find attachments.
There is an option to upload photographs on right side of query page.
Please utilize that.
You can also mail me photos on attachments@healthcare magic.com with subject as ATTN DR XXXXXXX XXXXXXX
Waiting for your response.
Thank you.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Rahul Kumar (59 minutes later)
Sorry.. please find the attached picture..
doctor
Answered by Dr. Dr. Rahul Kumar (20 hours later)
Brief Answer:
Superficial fungal infection

Detailed Answer:
Hello
Thanks for the photograph.
It is looking like a superficial fungal infection.
I treat such cases with a topical antifungal cream like clotrimazole to be applied twice daily for a month.
It is safe and effective and usually available over the counter.
There is nothing to worry such infections are very common and are harmless.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Dr. Rahul Kumar (19 hours later)
Hi doctor,
Im using that topical solution from 2 days. It is still spreading. I was able to peel it. Attached the picture. Please see and let me know if it is safe to comb and peel them after applying the topical solution. Can u please let me know the reasons for such infection?? Is it safe to wash baby hair with XXXXXXX baby shampoo?
doctor
Answered by Dr. Dr. Rahul Kumar (14 hours later)
Brief Answer:
You can shampoo

Detailed Answer:
Hello
Thanks for the photograph.
You don't need to peel off the scales but combing can be done.
Let the scales come off on their own.
Babies have low immunity hence they easily develop such infections.
Keep applying the cream.
It might take a month for complete recovery.
There is nothing to worry such infections are very common and are harmless.
You must wash babie's hair with shampoo to keep it clean. XXXXXXX shampoo can be used.
Let me know if you have any other doubts.
Thank you.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Rahul Kumar (1 hour later)
Pfa images of the peelings. Can i oil the hair with coconut oil?? Is it best to comb after oil or after hair wash or after putting solution?? Im using solution morning and night, is that ok? Should i apply topical solutionto full scalp or only afftected area??
doctor
Answered by Dr. Dr. Rahul Kumar (21 hours later)
Brief Answer:
Use solution twice daily

Detailed Answer:
Hello
Thanks for the follow up.
Yes you can use coconut oil.
It is best to comb after putting solution.
Apply solution to only affected area.
Twice application is enough.
Let me know if you have any other doubts.
Thank you.
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. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Rahul Kumar

Dermatologist

Practicing since :2010

Answered : 6634 Questions

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What Causes Black Flat Spots On The Scalp?

Brief Answer: Photograph required Detailed Answer: Hello Thanks for the query. Probably your baby has developed seborrhea. Can you please upload a photograph of the involved area? This will help me in giving a closer diagnosis and better way of management. You can simply upload it to the reports section of this web page. Waiting for your response. Thank you.