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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Painful Itchy Red Blisters On Scalp. Diagnosed Mrsa Infection. Prescribed Aquaphor. Suggestions?

Good evening,

I have been to two different dermatologists approximately 7 times for what is a very irritated area on my scalp (right side, crown). It stays itchy most of the time and can appear scaly, but then progresses to red, blistery, and extremely painful (knife-like constant pain). At first there was staph present, and then that progressed to MRSA, but after treated, and the problems continued, I had a biopsy, at which time I was diagnosed with "chronic itch and scratch." No dermatologist has ever seen my scalp during the worst of the flare-ups because it takes a week or two to get in, by which time the worst is over. I have tried every vitamin regimen for skin/scalp, every shampoo for dry scalp (antifungal, antibiotic, Hibiclens, etc), and the only thing that helps at all during the worst of everything is tea tree shampoos/conditioners. Recently I also made a trip to the infectious disease clinic because of the MRSA, and he, too, indicated that I simply am very dry, which starts the problem in its entirety. He recommended I apply aquaphor to the affected area on my scalp, which I did not do after the day he put it on, because it took days to wash out. That said, I do have thick, curly, dry hair (I am not ethnic, and my hair is not brittle...just curly and on the dry side), so I suppose the aquaphor hides well, but I just didn't feel like that could possibly prevent what I'm currently experiencing.

Have you heard of anything like this? I do not believe it to be psoriasis or seborrheic dermatitis after much research, nor does it present like folliculitis. We do have a family history of keratosis pilaris (which I do have, even still now as a 34 year old mother of 4), and I do have a history of eczema, but only during the really dry parts of winter, and it presents itself as circular patches resembling ring worm (my pediatrician as a child misdiagnosed it as ring worm, in fact). Since visiting with the infectious disease doctor, I have started using Head & Shoulders for dry scalp daily, again, and I also started using CeraVe cream, which has been a huge blessing to my keratosis pilaris and ultra dry, cracked heals. But I sit here with my scalp on fire as I type.

Thank you kindly for your time; it is greatly appreciated!
Thu, 30 May 2013
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Dermatologist 's  Response
Hi , The itchiness is the root cause. when it gets itchy one tends to scratch and damage the skin and there in gets an entry point for infection. The reason for itching as in your case is dryness and scaling. So you have to try aquaphor for minimum 6 weeks and then decide whether it helps or not. You cannot go on getting repeated infections with MRSA and take different antibiotics every time
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Painful Itchy Red Blisters On Scalp. Diagnosed Mrsa Infection. Prescribed Aquaphor. Suggestions?

Hi , The itchiness is the root cause. when it gets itchy one tends to scratch and damage the skin and there in gets an entry point for infection. The reason for itching as in your case is dryness and scaling. So you have to try aquaphor for minimum 6 weeks and then decide whether it helps or not. You cannot go on getting repeated infections with MRSA and take different antibiotics every time