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Suggest Treatment For Acne On Scalp

Posted on Mon, 8 Sep 2014

Question: Hi,

I m loosing my hair n part of scalp is already becoming bald. I feel the cause of this is due to acnes in my scalp. I take hair bath daily, i dont go in dust, and i always travelling in car, but still the acnes in scalp appears daily n i tend to scrach those acnes n it becmes wound n my hair will fall along with that wound. Please help in letting me know how i can keep my scalp clean. Any medication for this ??

Thanks,
CXXXX

Answered by Dr. Geetika Paul (1 hour later)

Brief Answer:
Kindly provide certain details

Detailed Answer:
Hi

I understand your concern regarding your skin problem and I hope I am able to help you in the same.
You seem to be developing hair loss over scalp secondary to folliculitis.
But I would like to find out the cause of itching over the scalp. Follicular infection can lead to hair loss. Please tell if you have any seborrhoeic dermatitis or dandruff of the scalp too since dandruff can lead to itching and further development of follicular infection.
Please tell if you use hair oil and if yes which hair oil do you apply?
Do you have any whitish scales with itching or any acne like lesions over face ,chest and upper back as well.

I am sure I will be able to help you better once you provide me with the above details.

Dr Geetika XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Geetika Paul (2 hours later)

Hi Dr. XXXXXXX

Below has few more information,

I do use hair oil ocationally, i use parachute cocunut hair oil weekly twice 30 mins before bath.

Yes, i do have dandruff, the acne in scalp is similar to to acne in other places of body. When i scrach initially i get white discharge n later blood.

Please let me know if you require more information.

Thanks,
XXXX

Answered by Dr. Geetika Paul (1 hour later)

Brief Answer:
Dandruff with folliculitis lesion, take treatment

Detailed Answer:
Hi again

I can sense that your main problem is that of seborrhoeic dermatitis along with acneiform lesions over the scalp and body.
You basically need to start using an dandruff shampoo like scalpe shampoo twice a week. Leave it on hair for five minutes before rinsing it off.
It addition, apply zydip lotion at night daily to the scalp.
Take tablet fluconazole 150 mg once a week for two weeks.
You might also need to take a short antibiotics course along. Take tablet azithromycin 500 mg once a day for five days.
This treatment will take care of the painful folliculitis lesions and dandruff.
Now as far as the hair fall is concerned, since you have stated that you are loosing hair from a particular side of scalp, I would request you to click some close up pictures of the affected area and upload them here on this page. I would like to see the pattern of hair loss before deciding further management.

Dr Geetika XXXXXXX

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Geetika Paul (1 hour later)

Hi Dr.,

Attachment has pics of my scalp. Just to clarify i dont have acne in other parts of my body. I have acnes only on my scalp.

Few more information, i m 31 yrs old vegeteria, i dont have any heridetery problem. My parents at the age of 60 still have healthy hair.

Hope this info are helpful.

Thanks,
XXXX

Answered by Dr. Geetika Paul (9 minutes later)

Brief Answer:
Male pattern hair loss, need long term treatment

Detailed Answer:
Hi again

I have seen the attached pictures.

Your problem is basically that of male pattern hair loss. This can lead to thinning of hair at the vertex which is happening in your case.
So you need a long term treatment for the same so as to prevent any further hair loss and also regain the lost hair.
Start application of minoxidil ten percent lotion one ml twice a day over the affected areas of scalp . Apply zydip lotion once a day, sometime in the evening.
Wash hair twice a week with scalpe shampoo as told before.
You can take tablet fluconazole 150 mg once a week for two weeks.
Take levocetrizine once a day for two weeks.
You need to follow the above treatment regularly.
Application of minoxidil and zydip lotion along with the shampoo will continue for a longer time . You can stop the oral medicines after two weeks.

Remember that you need to take long term treatment to get good results in your problem.

Dr Geetika XXXXXXX

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Geetika Paul (4 minutes later)

Hi Dr.,

Thanks for your reply,

Is it possible to contact you for treatment,

Are you based out in XXXXXXX ? If yes let me know how can i contact you.

Thanks

Answered by Dr. Geetika Paul (1 hour later)

Brief Answer:
Best of health

Detailed Answer:
Hi again

You can contact me anytime on this forum. You can send me a direct query on this forum.

Dr Geetika XXXXXXX

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