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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Medication Can Aid Healing Of Spots On Scalp?

DENUDED SKIN SPOTS ON SCALP SCAB OVER, BUT NEVER HEAL COMPLETELY. HAD HAIR TRANSPLANT 35 YR AGO., AND SOME EXCESSIVE SUN EXPOSURE FOR 20+ YEARS THAT.IN HAWAII.. NEUTROGENA OIL FREE ACNE WASH, SELSUN SHAMPOO, HEAD & SHOULDERS SHAMPOO AND/OR WATER PRESSURE FROM SHOWER MASSAGE WILL REMOVE SCABS LEAVING DENUDED BARE SENSITIVE SPOTS ON SCALP..
WHAT IS BEST MEDICATION TO USE TO SUPPORT HEALING OF THESE 8 - 12 SPOTS SPOTS ON MY SCALP?
Sincerely, Norm Winter, Honolulu, HI
Tue, 11 Feb 2014
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Dermatologist 's  Response
Hi. Thanks for posting your concern at HCM

Seems to be a case of Seborrheic dermatitis of the scalp which might have got infected with bacteria leading onto oozing, crusting/scabbing

If i was your treating doctor i would have want you to take an oral antibiotic(penicillin group) for a week to heal up the sores, along with Ketoconazole based shampoo thrice weekly. I prefer ketoconazole over selsun because of irritancy potential of the later.

If ketoconazole is'nt sufficient then i prefer to use a topical steroid lotion twice daily for 2 weeks which usually produces significant improvement within 2 weeks and this can be maintained with ketoconazole shampoo once or twice in a week.

take care
regards
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What Medication Can Aid Healing Of Spots On Scalp?

Hi. Thanks for posting your concern at HCM Seems to be a case of Seborrheic dermatitis of the scalp which might have got infected with bacteria leading onto oozing, crusting/scabbing If i was your treating doctor i would have want you to take an oral antibiotic(penicillin group) for a week to heal up the sores, along with Ketoconazole based shampoo thrice weekly. I prefer ketoconazole over selsun because of irritancy potential of the later. If ketoconazole is nt sufficient then i prefer to use a topical steroid lotion twice daily for 2 weeks which usually produces significant improvement within 2 weeks and this can be maintained with ketoconazole shampoo once or twice in a week. take care regards