• question-icon

    What causes redness on scalp while suffering from seborrheic dermatitis?

default
Posted on Wed, 25 May 2016 in Skin Hair and Nails
Question: I suffer with seborrheic dermatitis on my face and scalp. I am concerned about the hair growth on my scalp. I seem to have a line of hairs that is growing in a different direction and there is red skin underneath. Im am worried i have folliculitis decalvans after looking online. I have atached an image for reviee.
doctor
Answered by Dr. Kakkar S. 5 hours later
Brief Answer:
Not folliculitis decalvans

Detailed Answer:
Hello. Thank you for writing to us

I am dr.kakkar (dermatologist). I have gone through your query and I have also reviewed the image.

I can see erythema of scalp. You difinitely seem to have seborrheic dermatitis.

The line of hair growing in different direction is absolutely a normal thing and is part of natural whorl of hair that forms at the vertex of scalp.

Folliculitis decalvans is a deeper form of folliculitis which is also associated with a cicatricial/ scarring alopecia whereas I don't see any folliculitis or scarring in this image. I don't think you have folliculitis decalvans. You just have plain seborrheic dermatitis which is characterized by erythema and scaling of scalp.

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Kakkar S. 9 hours later
I have attached another picture for review. I don't understand why the redness is in line with the pattern of hair growth? What can i do to redice the redness?
doctor
Answered by Dr. Kakkar S. 19 hours later
Brief Answer:
Ketoconazole shampoo and topical steroid preparation

Detailed Answer:
Hi. Thank you. I have reviewed the image.

This is part of seborrheic dermatitis. Redness is more along this patch but I can see that there is diffuse redness elsewhere as well.
I suggest you to use a ketoconazole based shampoo e.g Nizral shampoo, every alternate days. In addition I suggest you to use a topical steroid cream or lotion e.g triamcinolone acetonide 0.1% cream or mometasone furoate 0.1% lotion, once daily at night, on scalp skin, for 2 weeks. Topical steroids are antiinflammatory and vasocontrictive in action and would reduce redness and scaling of seborrheic dermatitis.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Kakkar S.

Dermatologist

Practicing since :2002

Answered : 8962 Questions

premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Alopecia

doctor1 MD

Hi, I have hypothyroidism which is managed very well on Armour thyroid . 6 weeks ago i had to have a CT scan with iodine contrast and ever since...

doctor1 MD

hi, i am suffering from Alopecia Areata. i consulted a dermatologist. he gave me the medication like below. 1) AF-150mg tablet 2) bandy plus 3)...

doctor1 MD

Hi. I am wondering if ecophane pills have any side effects. I am a 39 female and have been suffering mild hair loss caused by stress and...

doctor1 MD

using anastim for hair loss . stopped it a while ago . now it feels like i m losing hair again .see about 30strands of hair fall everytime i shower...

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...

doctor1 MD

Sir I am suffering hair fall & severe head loss at middle of head. I consulted skin specialist who prescribed minoxidil solution 2% ;finaster idea...

doctor1 MD

Hello Doc, I am writing this to my previous interaction with you sometime before. I contacted you with regards to the problem to my hair, I had...

Get personalised answers from verified doctor in minutes across 80+ specialties

188 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Questions Answered By Dr. Kakkar S.
  • Q - Suggest treatment for thinning of skin

  • Q - Is boil inside nose folliculitis a cause for concern?

  • Q - What casues allergic skin rash?

  • Q - How to diagnose herepes type 2?

  • Q - What causes white pimples in vagina?

  • Q - Suggest treatment for headache, acne and weight gain

  • Q - Suggest treatment for dandruff and red spot on scalp

  • Q - What causes non itchy eruption on penis?

  • Q - Suggest treatment for itching acne on hand

  • Q - Suggest treatment for itching sensation all over body

backtotop2