Scalp Bumps: Is It Seborrheic Dermatitis?

Q: Scalp Bumps: Is It Seborrheic Dermatitis?

Hello： In response to your question, your condition may be folliculitis. <br>If you have already consulted a dermatologist, I believe the doctor would have explained the situation and provided appropriate treatment. <br>However, folliculitis is indeed prone to recurrence. <br>The

What are my symptoms?

I often develop small bumps on my scalp that can burst and ooze pus when scratched.
Sometimes the condition improves, but at other times it becomes quite severe.
Additionally, my scalp seems to have an unpleasant odor.
I would like to know if this could be seborrheic dermatitis.
Many elderly people say this is due to excessive liver heat.
Is that true? From what I've read from various doctors, this is a condition that currently cannot be completely cured.
Should I still see a doctor, or can I just pay more attention to certain details in my lifestyle? Some doctors suggest using shampoos with specific ingredients that are better for the scalp, but it seems difficult for me to find products based on those ingredients.
Could you please recommend a specific brand for me? Thank you!

Xiao Xun, 20~29 year old female. Ask Date: 2004/03/01

Dr. Chen Yiying reply Dermatology

Hello: In response to your question, your condition may be folliculitis.
If you have already consulted a dermatologist, I believe the doctor would have explained the situation and provided appropriate treatment.
However, folliculitis is indeed prone to recurrence.
The term "excessive liver fire" mentioned by the elderly is not a medical term, but it generally reflects a state of weakened immunity, which may make folliculitis more likely to occur.
In fact, many conditions are not easily "cured," but they can certainly be "treated" and "managed." For example, diabetes and hypertension cannot be cured, but should we ignore them and let them worsen just because they cannot be cured, or should we cooperate with our doctors and receive treatment? You, being wise, should know how to make the right choice! As for shampoos in treatment, they can only play a supportive role, so please consult your doctor for a diagnosis before making a choice.

Reply Date: 2004/03/01

More Info

Seborrheic dermatitis is a common skin condition that can affect various areas of the body, including the scalp. It is characterized by red, flaky patches, and can sometimes lead to the formation of bumps or pustules, as you described. The symptoms you are experiencing—bumps on the scalp that can break open and ooze, along with an unpleasant odor—are consistent with seborrheic dermatitis or possibly another scalp condition such as folliculitis or scalp psoriasis.

The notion that "excess liver heat" is causing your symptoms is a traditional Chinese medicine perspective. While some people believe that dietary habits and internal health can influence skin conditions, from a Western medical standpoint, seborrheic dermatitis is primarily linked to factors such as an overgrowth of Malassezia yeast, which is a type of fungus that thrives in oily areas of the skin. Other contributing factors can include stress, hormonal changes, weather conditions, and certain medical conditions.

Seborrheic dermatitis is indeed a chronic condition that can be managed but not completely cured. Treatment typically focuses on controlling symptoms and preventing flare-ups. Here are some recommendations based on current medical knowledge:
1. Medicated Shampoos: Look for shampoos that contain active ingredients such as:
- Ketoconazole: An antifungal that helps reduce the yeast that can contribute to seborrheic dermatitis.

- Zinc pyrithione: This ingredient has antifungal and antibacterial properties and can help reduce flaking and irritation.

- Coal tar: This can help slow down skin cell turnover and reduce inflammation.

- Salicylic acid: This helps to exfoliate the scalp and reduce scaling.

2. Lifestyle Adjustments:
- Regular Washing: Wash your hair regularly with a medicated shampoo to help control oiliness and reduce yeast overgrowth.

- Moisturizing: If your scalp feels dry, consider using a gentle, non-irritating conditioner after shampooing.

- Diet and Hydration: Maintain a balanced diet and stay hydrated, as overall health can impact skin conditions.

3. Avoid Irritants: Be cautious with hair products that contain alcohol or harsh chemicals, as these can exacerbate irritation.

4. Consult a Dermatologist: Since your symptoms are persistent and can sometimes worsen, it is advisable to see a dermatologist. They can provide a proper diagnosis and may prescribe topical treatments such as corticosteroids or antifungal creams to help manage inflammation and reduce symptoms.

5. Follow-Up: If you notice that your symptoms improve with treatment but then return, it may be necessary to adjust your treatment plan or explore other underlying causes.

In summary, while seborrheic dermatitis can be a frustrating condition, there are effective treatments available. It is essential to consult with a healthcare professional for a tailored approach to your specific situation. They can help you navigate the various treatment options and recommend specific products that suit your needs.

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