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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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I Started Having Boils On The Crown Of My Head.

I am a 24 year old male, i started having these boils on the crown of my head about 2 and a half or 3 years ago, they are now to the point where i can not hardly sleep at night they itch and hurt so bad, i went to a doctor and she basically told me the pores in my head were larger than normal and that this would never go away, i find this a hard explanation to swallow, especially with as painful as these are. i have never had a skin problem in my life. i returned home from a deployment to iraq late 2007 and these started showing up in late 2008. do you have any idea what this could be? also, could this have anything to do with my deployment?
Fri, 21 Jan 2011
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General & Family Physician,  's  Response
Since you were in hot conditions and wearing a helmet all the time I presume you might actually have fungal infection of the scalp which could be caused by trichophyton, epidermophyton or microsporum which are different fungi.

The degree of tissue reaction could resemble boils and since it's itchy and been there for a while I strongly suspect i might be fungal infection. The thing is when fungus invades your scalp, shampoos like Selsun may only heal them for a while. It would come back again and again as you discontinue the shampoo.

The dermatologist will see you and if he feels it's fungal infection indeed, he might put you on terbinafine 250 mg tablets once daily for 2 to 3 weeks.
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I Started Having Boils On The Crown Of My Head.

Since you were in hot conditions and wearing a helmet all the time I presume you might actually have fungal infection of the scalp which could be caused by trichophyton, epidermophyton or microsporum which are different fungi. The degree of tissue reaction could resemble boils and since it s itchy and been there for a while I strongly suspect i might be fungal infection. The thing is when fungus invades your scalp, shampoos like Selsun may only heal them for a while. It would come back again and again as you discontinue the shampoo. The dermatologist will see you and if he feels it s fungal infection indeed, he might put you on terbinafine 250 mg tablets once daily for 2 to 3 weeks.