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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Itchy And Scaly Scalp?

Hello. I have had a scalp condition for a year now. It's been itchy and scaly. Was told it was eczema because I have that on other parts of body. I have been giving creams for my eczema but nothing helps my scalp. I have been losing hair. Now I have a lump behind my ear and woke up last night soaked in sweat.
Tue, 17 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Itchy scaly scalp along with eczema elsewhere on the body could be related.

The first thing that comes to my mind is psoriasis, which commonly affects the scalp and body with itchy scaly erythematous plaques.

I would suggest that you see a dermatologist for a confirmatory diagnosis.

Treatment would comprise coal tar and salicylic acid based shampoo along with topical steroid lotions, calcipotriol lotion etc

For cutaneous lesions topical steroid+salicylic acid based ointments are commonly prescribed. Topical Vit D analogues e,g calcipotriol, calcipotriene ointments are also useful remedies for psoriasis.

For widespread disease systemic treatments in the form of immunosuppressives like methotrexate, cyclosporin etc can be started, however for limited disease topical treatment alone would suffice

Regards
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What Causes Itchy And Scaly Scalp?

Hello and welcome to healthcaremagic Itchy scaly scalp along with eczema elsewhere on the body could be related. The first thing that comes to my mind is psoriasis, which commonly affects the scalp and body with itchy scaly erythematous plaques. I would suggest that you see a dermatologist for a confirmatory diagnosis. Treatment would comprise coal tar and salicylic acid based shampoo along with topical steroid lotions, calcipotriol lotion etc For cutaneous lesions topical steroid+salicylic acid based ointments are commonly prescribed. Topical Vit D analogues e,g calcipotriol, calcipotriene ointments are also useful remedies for psoriasis. For widespread disease systemic treatments in the form of immunosuppressives like methotrexate, cyclosporin etc can be started, however for limited disease topical treatment alone would suffice Regards