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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Itchy Flaking Scalp, Pain On Scratching, Bleeding Boils, Oily Scalp, Hair Fall. Suggestions?

Hello doctor. Recently my scalp has started to itch and I have developed a habit of scratching my head. On scratching I see large flakes on my fingers that look like peeled skin and upon scratching further I starts to ache and I can sometimes feel a discharge from the area that feels like thinned blood . Sometimes I also develop boils on my scalp . After shampooing I have a day or two of relief and then it starts to itch again, so I have to shampoo around 4 times a week. I have very oily skin and if I don t shampoo my hair starts to look and feel greasy. I use head and shoulders classic clean shampoo. For now I have cut my hair very short and apply oil every day and shampoo every second day but the flakes don t go it still itches on every second day of a wash. You should keep in mind I have a hairfall problem too. What should I do?
Sat, 31 Aug 2013
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Dermatologist 's  Response
Hi,
From the description provided, you seem to be having seborrheic dermatitis.
To treat the same
Avoid oiling scalp
Use a ketoconazole based shampoo every alternate day. Apply it for 10 minutes then wash off
Apply a steroid salicylic acid lotion in scalp every night.
Take tablet cetirizine daily.

Once response is seen, stop steroid lotion and continue using shampoo once in a week.
Once dandruff problem will resolve, your hair fall would reduce.
Hope that helped.
Take care
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Itchy Flaking Scalp, Pain On Scratching, Bleeding Boils, Oily Scalp, Hair Fall. Suggestions?

Hi, From the description provided, you seem to be having seborrheic dermatitis. To treat the same Avoid oiling scalp Use a ketoconazole based shampoo every alternate day. Apply it for 10 minutes then wash off Apply a steroid salicylic acid lotion in scalp every night. Take tablet cetirizine daily. Once response is seen, stop steroid lotion and continue using shampoo once in a week. Once dandruff problem will resolve, your hair fall would reduce. Hope that helped. Take care