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DANDRUFF (Seborrhoeic dermatitis)

Scaling of scalp is a common finding in many people, but can cause intense discomfort to some patients.  Seen as flakes of skin on hair which may settle on upper clothes to cause social embarrassment, this condition can be kept under control and treated effectively.

 Most patients complain of flaking and  itchy skin on scalp.  Scratching the scalp with finger nails yields clumps of greasy scales.

 A yeast called pityrosporum ovale has been linked to dandruff.  So the keyword is to control the problem rather than cure the dandruff.  It is not contagious, but as a yeast has been linked to it separate combs and towels make sensible advise.

Treatment

Washing hair more often than usual will help most patients.  As the disease has been linked to an yeast, an antiyeast preparation called ketoconazole shampoo is helpful.  Nizral ^Tm is available commercially.  It can be used twice weekly indefinitely.

 Sometimes in the initial stages the scalp is too sore hence may need topical steroid lotion to control the soreness.  While it is safe to use these for a short period do not use these daily indefinitely.

 Coal tar containing shampoos can also be used.  Some examples are Polytar ^Tm Capasal. ^Tm.

  SEBORRHEIC DERMATITIS - CLICK HERE