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Suggest Treatment For Scaly Plaques Over Scalp

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Posted on Wed, 5 Nov 2014
Question: iam XXXXXXX age 33 years.from past one month im having itching in hair and there looks to be like patches of dandruff in hair.seems like peeling patches with my fingers to take it out.thick patches its around half head back side.and also white colour patches formed back side of hand elbow for both hands
doctor
Answered by Dr. Johny Chacko (35 minutes later)
Brief Answer:
Scaly plaques over Scalp

Detailed Answer:
Hello,
Welcome to healthcare magic,
From your description it looks like you are having scalp psoriasis. I cannot be hundred percent sure without seeing it. You have an option of uploading reports on the right side of the query page, kindly upload pictures of your skin lesions so that I can have a look.
Psoriasis is a genetic skin disease and is seen in 2 out of hundred people. In some patients it can be seen only over scalp, in some patients other parts of body can also be affected, elbows and knees are one of the most common sites involved.

Psoriasis needs long term follow up and treatment with a good dermatologist. Topical steroid lotion and shampoos will be the first line of treatment. Severe stress, smoking, alcohol intake, infections and pain killers make psoriasis worse.
Hope this helped,
Take care.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Johny Chacko (1 hour later)
i have sent hair photo and hand photo so with this kindly give me preferred things

where is the answer
doctor
Answered by Dr. Johny Chacko (23 hours later)
Brief Answer:
Psoriasis

Detailed Answer:
Hello, Welcome back. I saw the pictures. It was very helpful. As I suspected you are having psoriasis. You should consult a dermatologist for prescription.
I usually treat such cases of psoriasis with Topisal 3 percent lotion twice daily application and a shampoo called Ionax T for bath.
Avoid smoking and alcohol. Decrease your stress, relaxation exercises like yoga helps.
Hope this helped.
Take care.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Johny Chacko (8 hours later)
I have uploaded the description from doctor follow it and tell me
doctor
Answered by Dr. Johny Chacko (13 hours later)
Brief Answer:
Scalp psoriasis

Detailed Answer:
Hello,
Welcome back,
Did you not show your doctor the elbow lesion? She has diagnosed it as Seborrhoeic dermatitis and not scalp Psoriasis. I do not think this is seborrhoeic dermatitis. The scales on the scalp are thick and silvery white. Elbows are not involved in seborrhoeic dermatitis but in Psoriasis. However the shampoos that she has prescribed will work even in Psoriasis. I would ask you to take a second opinion from another MD dermatologist. You will need a topical steroid lotion for good improvement.
Take care.
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
Dr.
Dr. Johny Chacko

Dermatologist

Practicing since :2005

Answered : 1916 Questions

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Suggest Treatment For Scaly Plaques Over Scalp

Brief Answer: Scaly plaques over Scalp Detailed Answer: Hello, Welcome to healthcare magic, From your description it looks like you are having scalp psoriasis. I cannot be hundred percent sure without seeing it. You have an option of uploading reports on the right side of the query page, kindly upload pictures of your skin lesions so that I can have a look. Psoriasis is a genetic skin disease and is seen in 2 out of hundred people. In some patients it can be seen only over scalp, in some patients other parts of body can also be affected, elbows and knees are one of the most common sites involved. Psoriasis needs long term follow up and treatment with a good dermatologist. Topical steroid lotion and shampoos will be the first line of treatment. Severe stress, smoking, alcohol intake, infections and pain killers make psoriasis worse. Hope this helped, Take care.