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What Are These Red Painful Bumps And Small Red Itchy Spots On My Scalp?

Posted on Tue, 15 Feb 2022

Question: Hi, I am getting red bumps and small red sports that are very itchy and some are painful for last couple of months on my scalp and some are around the head. I have attached the example picture. Any advice what are these?

Answered by Dr. Lekshmi Rita Venugopal (5 hours later)

Brief Answer:
Diagnosis: Seborrheic Dermatitis

Detailed Answer:

Hello,

Given the location on the scalp and around the head, the itchy red bumps you are noticing is likely due to seborrheic dermatitis, commonly called dandruff.
You can use 2 % Ketoconazole shampoo (Nizoral shampoo) to wash the affected areas. Use the shampoo on alternate days for the first week, followed by every 3 days until the rash completely clears up (which can take up to 8 weeks).
You can also use T-sal (3% Salicylic acid shampoo) once a week along with Nizoral.
If you do not notice any improvement after the first 2 weeks, follow up with your primary provider for re-evaluating the diagnosis.
Take cetirizine 10 mg at bedtime if itching is too troublesome.

Hope this answers your question
Please let me know if you need further clarification
Regards
Dr. Lekshmi

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Lekshmi Rita Venugopal (15 hours later)

Hi,

I have uploaded them in tiny pic. Please check. Thanks.

Answered by Dr. Lekshmi Rita Venugopal (2 hours later)

Brief Answer:
Seborrheic dermatitis

Detailed Answer:
Hi again,

I was able to review the pictures. Thank you for sending them. The red lesions seem to be due to seborrheic dermatitis. Please be advised to follow the measures I recommended in the above discussion.

Regards
Dr.Lekshmi

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. Raju A.T