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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Thick Yellow Scales On Scalp?

My 2 year old daughter has thick yellow scales on her scalp. they do not see to itch her and they do not flake either. I have tried to use my nail to scrape them off but does not work well they attach to the hair then. What could this be she has eczema and soriasis also on her torso and extremities                                                                 
Fri, 12 Jun 2020
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Pediatrician,  's  Response
Hi,

Thick yellowish scales on scalp in children are most commonly caused by seborrheic dermatitis. For such cases, I used to give anti-fungal shampoos like ketaconazole for few weeks. If no response, adding mild steroid lotion often helps. But, since she has psoriasis also, kindly see your dermatologist, as psoriasis on scalp often resembles seborrheic dermatitis, and treatment is different.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam T. K., Pediatrician
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What Causes Thick Yellow Scales On Scalp?

Hi, Thick yellowish scales on scalp in children are most commonly caused by seborrheic dermatitis. For such cases, I used to give anti-fungal shampoos like ketaconazole for few weeks. If no response, adding mild steroid lotion often helps. But, since she has psoriasis also, kindly see your dermatologist, as psoriasis on scalp often resembles seborrheic dermatitis, and treatment is different. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician