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What Causes Hard Crusty Circles On Scalp?

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Posted on Sat, 7 Jun 2014
Question: I have hard crusty circles on my scalp. Scab sometimes they bleed. White hard stuff in scalp. It itches and feels sore. My hair is stuck to these circles when I try to get it out it sometimes feels wet and sticky under hair. It goes right back to sticking in these circles. Scalp feels swollen and very hard more in center to right side. I have tried every shampoo and oil there is. I can't go to a dermatologist ther are none in my area.
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Answered by Dr. Dr. Kakkar (1 hour later)
Brief Answer:
Seborrheic dermatitis with Secondary bacterial inf

Detailed Answer:
Hello and welcome to healthcaremagic

I would keep a possibility of Seborrheic Dermatitis of the scalp with Secondary Infection (oozing, crusting etc)

As a treating doctor I would have recommended a course of an oral antibiotic. My choice of oral antibiotic would have been Amoxycillin 500mg in combination with clavulanic acid 125 mg, thrice daily, for a week OR Cephalexin 500ng thrice daily OR Cefadroxil 500mg twice daily, for a week.

This would take care of the infection (Oozing and Crusts).

Oiling of the scalp is not advisable because it would encourage infection.

I would also suggest you to use a cetrimide 5% solution for scalp wash, it would loosen all the adherent crusts and sticky, greasy discharge. Cetrimide being antiseptic in nature and therefore itself helps with the scalp infection.

OR

You may also use an OTC ketoconazole based shampoo e.g Nizral solution (2% ketoconazole) for shampoo

It is advisable to wash your scalp daily and keep it as clean as possible..

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
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9612 Questions

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What Causes Hard Crusty Circles On Scalp?

Brief Answer: Seborrheic dermatitis with Secondary bacterial inf Detailed Answer: Hello and welcome to healthcaremagic I would keep a possibility of Seborrheic Dermatitis of the scalp with Secondary Infection (oozing, crusting etc) As a treating doctor I would have recommended a course of an oral antibiotic. My choice of oral antibiotic would have been Amoxycillin 500mg in combination with clavulanic acid 125 mg, thrice daily, for a week OR Cephalexin 500ng thrice daily OR Cefadroxil 500mg twice daily, for a week. This would take care of the infection (Oozing and Crusts). Oiling of the scalp is not advisable because it would encourage infection. I would also suggest you to use a cetrimide 5% solution for scalp wash, it would loosen all the adherent crusts and sticky, greasy discharge. Cetrimide being antiseptic in nature and therefore itself helps with the scalp infection. OR You may also use an OTC ketoconazole based shampoo e.g Nizral solution (2% ketoconazole) for shampoo It is advisable to wash your scalp daily and keep it as clean as possible.. regards