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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Burning Sensation On The Scalp

If you have lupus on your scalp how long until it normal stops? I ve had a burning scalp for a year. I ve had a scalp biopsy (stating I had pseudopelade) and told I did not have lupus. Then another Dermatologist stated he felt it was lupus. I ve been taking Doxycycline and it helps but my scalp still burns every day.
Mon, 23 Dec 2019
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General Surgeon 's  Response
Hello,

From what I can judge from your description it seems like you may be suffering from either scalp psoriasis or seborrheic dermatitis. Scalp and hairline is a common site of involvement.

These conditions commonly present as itchy, scaly, round or oval, red patches on scalp and hairline. The condition is chronic and can last for years.

Chest is also a common site of involvement with seborrheic dermatitis and sebopsoriasis.

Both these conditions are responsive to topical steroids as you must have noticed that your condition gets better with these i.e fluocinolone acetonide oil which you have been using.

Topical immunomodulators like pimecrolimus (elidel) and tacrolimus are also effective in both these conditions as is ketoconazole shampoo. However, the condition may relapse.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Burning Sensation On The Scalp

Hello, From what I can judge from your description it seems like you may be suffering from either scalp psoriasis or seborrheic dermatitis. Scalp and hairline is a common site of involvement. These conditions commonly present as itchy, scaly, round or oval, red patches on scalp and hairline. The condition is chronic and can last for years. Chest is also a common site of involvement with seborrheic dermatitis and sebopsoriasis. Both these conditions are responsive to topical steroids as you must have noticed that your condition gets better with these i.e fluocinolone acetonide oil which you have been using. Topical immunomodulators like pimecrolimus (elidel) and tacrolimus are also effective in both these conditions as is ketoconazole shampoo. However, the condition may relapse. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Iven Romic Rommstein, General Surgeon