Scalp Inflammation: Causes, Treatments, and Hair Loss Connection - Dermatology

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Scalp inflammation


Hello, doctor.
Recently, I've noticed an increase in dandruff, and I'm wondering if it has anything to do with the change of seasons.
I've been concerned about this issue before, especially since I have an oily scalp.
I use the same brand of anti-dandruff shampoo every day.
Is it possible that this could lead to resistance or adverse reactions? Recently, I switched to a refreshing oil-control shampoo to try something different, and I also visited a dermatologist.
The doctor told me that I have scalp inflammation.
I might have gotten used to it, as I don't feel much different than usual (no itching or redness).
It should be somewhat different from seborrheic dermatitis, right? The doctor also prescribed me a topical medication and noticed a bald patch on the top of my head.
Could it be possible that the scalp inflammation is causing hair loss?

Hong Cha, 20~29 year old female. Ask Date: 2017/11/26

Dr. Wu Yuxin reply Dermatology


Without actually seeing the lesion, it is impossible to determine the issue.
If it is causing significant distress, please seek medical attention promptly.
A proper examination is necessary to identify the problem and determine the appropriate treatment.

Reply Date: 2017/11/26

More Info


Understanding scalp inflammation and its connection to hair loss is crucial, especially for individuals experiencing symptoms like dandruff, itching, or hair thinning. Scalp inflammation can arise from various causes, including seborrheic dermatitis (often referred to as dandruff), psoriasis, fungal infections, or even allergic reactions to hair care products.
In your case, you mentioned that you have oily scalp and have been using the same anti-dandruff shampoo daily. While anti-dandruff shampoos can be effective in managing symptoms, overuse of the same product can sometimes lead to diminished effectiveness, a phenomenon known as "tolerance." This means that the scalp may become less responsive to the active ingredients in the shampoo over time, potentially leading to a resurgence of symptoms. Switching to a different type of shampoo, such as one that focuses on oil control, can be a good strategy to help manage your scalp condition.

You also noted that your doctor diagnosed you with scalp inflammation but did not observe any itching or redness. This is an important distinction, as inflammation can manifest in various ways. In some cases, inflammation may not present with the typical symptoms of redness or itching, especially if it is chronic or mild. The presence of inflammation can indeed lead to hair loss, particularly if the hair follicles are affected. Inflammatory conditions can disrupt the normal hair growth cycle, leading to conditions like telogen effluvium, where hair follicles prematurely enter the shedding phase.

Seborrheic dermatitis, which is a common cause of scalp inflammation, can lead to flaking and irritation. While it is often associated with oily skin, it can also occur in individuals with dry skin. The condition is characterized by the presence of yellowish, greasy scales on the scalp, which can sometimes be mistaken for regular dandruff. If left untreated, seborrheic dermatitis can contribute to hair thinning or loss, particularly in areas where the inflammation is most pronounced.

As for the bald patch you mentioned, it could be a result of several factors. If the inflammation is localized and persistent, it may lead to a condition known as alopecia areata, which is an autoimmune disorder that causes hair loss in patches. However, it is essential to have a thorough examination by a dermatologist to determine the exact cause of the hair loss and to rule out other conditions.

In terms of treatment, your dermatologist may prescribe topical corticosteroids or antifungal medications to reduce inflammation and address any underlying fungal infections. It's crucial to follow the treatment plan and monitor your scalp's response to the medications. Additionally, maintaining a healthy scalp environment by avoiding harsh hair products and practicing good hygiene can help improve your condition.

In conclusion, scalp inflammation can indeed contribute to hair loss, and it is essential to address both the inflammation and any underlying causes. Regular follow-ups with your dermatologist will help ensure that your treatment is effective and that any changes in your scalp condition are promptly addressed. If you notice any new symptoms or changes in your hair loss pattern, be sure to communicate these to your healthcare provider for further evaluation.

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