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Dandruff on scalp. Why does it stay even after rinsing? What are the scabs all over?

Hi! I have this HORRIBLE and wretched dandruff on my scalp that wont go away no matter what product I use, or how many times I wash or dont wash my hair. The dandruff is noticeable even AFTER i wash and rinse throughly. It s embarassing I have to tell people I have product in my hair when they ask whats all the white stuff your hair? . Its nothing like i ve had before. When i scratch my head, i feel scabs all over and i scratch them off but they seem to come back all the time. Its ALL OVER my scalp. What do you think it is?
Tue, 24 Jul 2012
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Dermatologist 's  Response

Thanks for posting question on HCM,
There are three contains in which scalp has scales or scaly plaques.
1 severe pityriasis alba.(dandruff)
2 seborrhoeic dermatitis which also seen in eyebrows and nasolabial folds esp.
3 psoriasis of scalp only.
In my view you may have psoriasis of scalp which is a chronic , genetic disorder ,at times waxes and wanes,.
You may biopsy your scalp and let me know the result ,meanwhile take fongitar shampoo thrice a week, betamethasone lotion mixed with oil 50 50 ,and tab sebex Z once a day.

Hope this will alleviate your anxiety
Dr sher bhutto
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