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Suggest Treatment For Scaly And Itchy Scalp
Question: scaly itchy scalp diagnosed with ms 2012 going on since then been to a dermatologist who treated with shampoos creams antibiotics nothing helped suggestions
Brief Answer:
looks like seborrheic dermatitis
Detailed Answer:
Hi,
This seems to be a case of seborrheic dermatitis. In adolescents and adults, seborrhoeic dermatitis usually presents as scalp scaling similar to dandruff or as mild to marked erythema of the nasolabial fold.
Topical corticosteroids may hasten recurrences thus are discouraged except for short-term use. Skin involvement responds to ketoconazole, naftifine, or ciclopirox creams and gels. Alternatives include calcineurin inhibitors (ie, pimecrolimus, tacrolimus), sulfur or sulfonamide combinations, or propylene glycol. Class IV or lower corticosteroid creams, lotions, or solutions can be used for acute flares. Systemic ketoconazole or fluconazole may help if seborrheic dermatitis is severe or unresponsive. Combination therapy has been recommended.
Dandruff responds to more frequent shampooing or an increased period of lathering. Selenium sulfide (2.5%), ketoconazole, and ciclopirox shampoos may help by reducing Malassezia yeast scalp reservoir.
Hope this helps.
looks like seborrheic dermatitis
Detailed Answer:
Hi,
This seems to be a case of seborrheic dermatitis. In adolescents and adults, seborrhoeic dermatitis usually presents as scalp scaling similar to dandruff or as mild to marked erythema of the nasolabial fold.
Topical corticosteroids may hasten recurrences thus are discouraged except for short-term use. Skin involvement responds to ketoconazole, naftifine, or ciclopirox creams and gels. Alternatives include calcineurin inhibitors (ie, pimecrolimus, tacrolimus), sulfur or sulfonamide combinations, or propylene glycol. Class IV or lower corticosteroid creams, lotions, or solutions can be used for acute flares. Systemic ketoconazole or fluconazole may help if seborrheic dermatitis is severe or unresponsive. Combination therapy has been recommended.
Dandruff responds to more frequent shampooing or an increased period of lathering. Selenium sulfide (2.5%), ketoconazole, and ciclopirox shampoos may help by reducing Malassezia yeast scalp reservoir.
Hope this helps.
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
Answered by
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