Scalp Issues: Redness, Flaking, and Treatment Options

Q: Scalp Issues: Redness, Flaking, and Treatment Options

Hello： The presence of a large amount of dandruff and erythema on the scalp, aside from tinea capitis, should also consider other conditions such as seborrheic dermatitis or psoriasis. <br>The product Yikofu contains antifungal and anti-inflammatory ingredients that can temporari

Skin redness and excessive dandruff?

Hello Dr.
Lin: A few years ago, I noticed that whenever I had a lot of dandruff, I would cut my hair short.
After cutting it to a buzz cut, I discovered round, coin-sized lesions on my scalp.
My wife applied "Yikofu" ointment, and after about 2 to 3 days, the round lesions disappeared.
However, whenever my hair grows out, the round lesions reappear.
I have seen several doctors, but none have been able to resolve my scalp skin issues.
Recently, I discovered that my 16-year-old son is also experiencing scalp lesions, but his condition presents as large areas of redness and scalp peeling.
Could you please advise what this issue might be? Additionally, my wife and daughter do not have any such problems.
I live in Ruifang, New Taipei City; could you recommend a hospital in the Greater Taipei area for consultation?

Junlong, 40~49 year old female. Ask Date: 2012/10/29

Dr. Lin Xinpeng reply Dermatology

Hello: The presence of a large amount of dandruff and erythema on the scalp, aside from tinea capitis, should also consider other conditions such as seborrheic dermatitis or psoriasis.
The product Yikofu contains antifungal and anti-inflammatory ingredients that can temporarily manage your scalp condition.
However, if your situation is recurrent and family members have similar symptoms, it is essential to consider the possibility of other diseases, such as psoriasis.
It is recommended that you visit a major hospital's dermatology department for further evaluation and examination.
If necessary, a skin biopsy or scraping for microscopic examination may be performed to confirm the diagnosis.

Reply Date: 2012/10/29

More Info

Hello! Thank you for reaching out with your concerns regarding scalp issues, including redness, flaking, and the appearance of circular lesions. Based on your description, it sounds like you may be experiencing a condition known as seborrheic dermatitis or possibly psoriasis, particularly given the recurrent nature of the lesions and the response to topical treatments.

Seborrheic dermatitis is a common skin condition that primarily affects the scalp, leading to red, flaky patches and dandruff. It can be exacerbated by stress, hormonal changes, or even certain weather conditions. The circular lesions you mentioned could also suggest a condition like tinea capitis (a fungal infection) or psoriasis, which can also present with well-defined, scaly patches.

For your son, the symptoms of large areas of redness and flaking could indicate a similar condition, but it’s essential to have a healthcare professional evaluate him to determine the exact cause. Conditions like eczema, psoriasis, or even allergic reactions to hair products can manifest in this way.

In terms of treatment options, here are some general recommendations:
1. Medicated Shampoos: Over-the-counter shampoos containing ingredients like ketoconazole, selenium sulfide, or zinc pyrithione can be effective for seborrheic dermatitis. These shampoos help reduce the yeast that can contribute to the condition and alleviate flaking.

2. Topical Corticosteroids: For inflammation and redness, a mild topical corticosteroid cream or lotion may be prescribed by a dermatologist. This can help reduce inflammation and itching.

3. Moisturizers: Regularly applying a gentle, fragrance-free moisturizer can help soothe the scalp and reduce dryness.

4. Avoid Irritants: It’s essential to avoid hair products that contain alcohol or fragrances, as these can irritate the scalp further.

5. Lifestyle Modifications: Stress management techniques, a balanced diet, and proper hydration can also play a role in managing skin conditions.

Since you mentioned that the condition recurs when your hair grows longer, it might be beneficial to explore the possibility of a fungal infection or an allergic reaction to hair products. It’s also worth noting that some individuals may have a genetic predisposition to these conditions, which could explain why your son is experiencing similar issues.

Regarding your request for a recommendation for a hospital in the New Taipei area, I suggest seeking out a dermatologist who specializes in scalp and hair disorders. You can look for clinics affiliated with reputable hospitals or dermatology centers in the Taipei area. Some well-known hospitals include National Taiwan University Hospital and Taipei Medical University Hospital, which have dermatology departments with experienced specialists.

In conclusion, I recommend scheduling an appointment with a dermatologist for both you and your son to receive a proper diagnosis and tailored treatment plan. It’s crucial to address these issues early to prevent further complications and improve your quality of life. Thank you for your inquiry, and I wish you and your family the best in managing these scalp conditions!

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