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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for psoriasis on the scalp

Hi so I have had a massive problem for the last two years or so. I have a severe case of psoriasis on my scalp which causes real bad scabbing and itching. However I have been finding black dots on my hairline and scalp. However the dots only appear after I ve been out or occasional at night or morning. Never when I m sitting at home doing nothing. I also get more when I have greasy hair. I ve read up about lice feces but I just don t know. I ve tried every lice treatment from the shampoo and conditioners, box treatments, vinegar, mouthwash, Vaseline, oils EVERYTHING!! I am using the neutrogena shampoo to clear my scalp but it s still bad and is itching like mad!! I just need help, I can t cope! What is going on? Thanks please reply someone!
Fri, 24 Jul 2015
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Dermatologist 's  Response

Psoriasis vulgaris is a chronic skin disease. Silvery scales is a diagnostic lesions. It may occur any where on the body. It is cosidered as an autoimmune skin disease. You consult dermatologist for the firm diagnosis.
However, I would recommend as below...

- methotraxate
- acitretin
- application of combined oint of steroids and salicylic acid lotion on scalp
- cleansing the scalp with salicylic acid containing shampoo

I hope this would help you..


Dr. Ilyas Patel MD
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