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Suggest Treatment For Psoriasis Of Scalp

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Posted on Fri, 16 Jan 2015
Question: Hello Doc,

I am acute problem of Dandruff on my scalp from last 3 to 4 yrs. When I consultant a doc he said that I am having Psoriasis of scalp and has told me to use Ion x-T as shampoo and also told me to apply Halox-X solution in the night 3 days a week. Though it works but as in when I stop applying it again starts. Is there better or permanent cure for the same. Also I am having problem of thinning of hair is it because of my existing problem.,
doctor
Answered by Dr. Sanjay Kumar Kanodia (2 hours later)
Brief Answer:
Kindly elaborate certain points about dandruff.

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for Dandruff. In view to help you best kindly elaborate about the problem of Dandruff so that I can help you better.


1. Do you feel lots of scales or excessive heaps of scales deposited on your scalp that forms the mounts like appearance or is it simple flaking only.

2. Had you got infection or boils in scalp any time in past. If yes how many times.

3. Do you feel an urge to itch repeatedly on scalp.

4. Do you use any type of hair oil on your scalp.

5. Do you wash your scalp daily or frequency of washing your scalp and the shampoo or soap.

6. Any skin problem in addition to dandruff such as acne or anything.

7. Your occupation or any continuous outdoor activity.

Hope to hear soon from your side.

Regards,

Dr Sanjay Kumar Kanodia
MD (Dermatology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sanjay Kumar Kanodia (8 hours later)
Hi Doc,

I feel a heap of scale in different areas of my scalp specially at the corners of the hair line..I also get a lot of pimple or acne sort of formation across my scalp which keep forming and going and usually are not painful...Ya I do feel urge of itching my scalp throughout the day and it some times become very embarrassing.....I use mixture of coconut oil and Halox-X solution 3 times in a week...I wash my scalp daily, the day I use oil and halox-x solution in the night I wash my scalp with Ionx-T in the morning and for other days I use L'Oreal shampoo to wash my scalp... Apart of this I do have some minor acne problems on my biceps and some skin tags near my eye area(Can you plz suggest some for this also) and under arms... I am working for a bank so most of the work happens inside the office and minimal travel is required.. Thanks
doctor
Answered by Dr. Sanjay Kumar Kanodia (1 hour later)
Brief Answer:
Pityriasis capitis (dandruff) : various suggestions and instructions.

Detailed Answer:
Hello young fellow,

Welcome again to the forum.

Thanks for your to the prompt reply.

After analyzing your complete problem and correlating with all the information let me tell you that you the problem known as Pityriasis capitis.

To tell you simply regarding the condition : Scientifically and medically our skin is a multiple layered structure. Our skin gets renewed every day. The layer which is present on the top today will be fallen off tomorrow. It will not be present tomorrow and would be dead skin in form of scales. This process is not actually visible on normally. So we can say we are just one day old from our skin most superficially.

Now in some persons it is renewed at a faster pace. Because of hygiene and scalp hair this dead skin in form of scales gets entangled and trapped in form of visible of scales known as dandruff or medically known as “pityriasis capitis”.

It varies from person to person and also on other of factors which makes the difference inter-individually. “Pityriasis capitis” is highest in twenties and then recedes by itself in later part of life.

It is due to the fact that the renewal of skin and the fatty acid secretion in scalp is highest at this part of life. So there is a tendency to grow fungus as well which makes the flaking more perceptible. There are no such important predisposing factors except for few which can make the situation worsened such as individual's own tendency to renew the skin, application of hair oil and environmental factors.

We can not change our own tendency to renew the skin but the personal measures of hygiene as well as the environmental factors can be modified.

For the remedy part follow the things below:

1.Wash your scalp daily. I guide my patients to wash twice in a single bath. It means when you are washing your scalp apply first time shampoo for washing the hair part only, then rinse it off immediately with water. Reapply the shampoo again immediately, leave it for around 5 minutes, do a good gentle massage by your fingers for around 2 minutes and then wash it off. By doing so for around 7 days you will get good benefit.

2. Stick to one good shampoo which is suiting your hair, don’t change the shampoos frequently. If you are using any conditioner also then to be used over the strands of hair only and not over the scalp skin. There is no difference of shampoos, the only part is to use good company shampoos such as Laureal or Tresemme shampoo. IF the dandruff is too high then you can use any medicated shampoo containing Ketoconazole in it.

3.Do not use any kind of hair oil or any oily or creamy stuff any time on your scalp.

4.Comb your hair at least 3-4 times a day and most importantly at night time so that the dust particle and other of dead skin is taken off.So for betterment of high oil secretion the only good solution is daily washing with any good shampoo. Reduce your exposure to hot and humid climate with any consumption of spicy food.

You can follow the above regimen for 8-12 weeks periods. This is my personal suggestion as a dermatologist that rather than medicines, simple daily regimen works better than anything.

For your acne and skin tags, I humbly request you to send some good resolution pictures of both the areas so that I can guide you best accordingly.

I hope the above information will help you. If you have further queries I will be glad to help.

"Wish you good health"

Regards,
Dr Sanjay Kumar Kanodia
MD (Dermatology)
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
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Answered by
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Dr. Sanjay Kumar Kanodia

Dermatologist

Practicing since :2002

Answered : 4165 Questions

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Suggest Treatment For Psoriasis Of Scalp

Brief Answer: Kindly elaborate certain points about dandruff. Detailed Answer: Hello, Welcome and thanks for posting your query to the forum. I can understand your concern for Dandruff. In view to help you best kindly elaborate about the problem of Dandruff so that I can help you better. 1. Do you feel lots of scales or excessive heaps of scales deposited on your scalp that forms the mounts like appearance or is it simple flaking only. 2. Had you got infection or boils in scalp any time in past. If yes how many times. 3. Do you feel an urge to itch repeatedly on scalp. 4. Do you use any type of hair oil on your scalp. 5. Do you wash your scalp daily or frequency of washing your scalp and the shampoo or soap. 6. Any skin problem in addition to dandruff such as acne or anything. 7. Your occupation or any continuous outdoor activity. Hope to hear soon from your side. Regards, Dr Sanjay Kumar Kanodia MD (Dermatology)