Dry Scalp Problems Overview

We can advise on and treat many scalp problems. Scalp eczema, seborrheic dermatitis, psoriasis, itchy scalps and dandruff are just some of the most common scalp problems we see on a regular basis but there are many more. It is important initially for the scalp condition to be diagnosed accurately, before deciding on the best course of treatment.

A flake is not just a flake. We frequently see patients who have been diagnosed with scalp conditions such as psoriasis who may have developed the condition following a chemical process. A more likely diagnosis may be irritant (contact) dermatitis. Self or misdiagnosis may lead to the wrong form of scalp treatment and the condition may become worse.

Here is a very brief account of some of the most common itchy flaky scalp conditions below. Self diagnosis is not recommended based on this information. All of these conditions could be confused with many others not listed here.

Scalp Problems

Dandruff – Pityriasis Simplex Capitis

One of the most common and irritating scalp conditions is dandruff, which presents as increased exfoliation of the most external layer of scalp (stratum corneum). The scalp is covered with loose white or yellow flakes and may or may not itch.

True dandruff is technically caused by an overgrowth of the yeast malassezia. Dandruff is controllable by regular (daily) use of the correct shampoo but can benefit from professional scalp treatments initially to gain control quickly.

Seborrhoeic Dermatitis / Eczema

This is an advancement of dandruff and a very common scalp condition. A form of eczema which affects sebum-gland rich areas of the skin, particularly the scalp. Seborrhoeic dermatitis is characterised by inflammation of the scalp and yellow waxy scales adhered to the scalp. With this scalp scale forms thick hard yellow plaques. Itching is severe often leading the sufferer to scratch profusely causing the scalp to weep and bleed.

The forehead, eyebrows and nasal folds may also be affected with this scalp condition. Seborrhoeic dermatitis often begins at puberty due to hormonal changes and increased testosterone. It is more common in men than women. This condition may require long term treatment but is controllable and benefits from professional scalp treatments .

Atopic Eczema / Dermatitis

An allergic type skin and scalp condition, very similar to Seborrhoeic Dermatitis but drier and tends to weep. Eczema sufferers are often affected in other body regions, particularly the backs of knees and inner elbows. Eczema may frequently be linked to environmental allergies and food intolerances. It is highly recommended eczema sufferers seek a legitimate food intolerance test for their scalp condition. Elimination of a culprit food(s) could potentially minimise eczema, which is preferable to a lifelong dependence on emollients and corticosteroids offered by orthodox medicine.

Pityriasis Amiantacea

This can occur alone or as a complication of another scalp condition. Pityriasis amiantacea is characterised by thick white/silvery crusting which adheres clumps of hair to the scalp. In many cases, scale will seem to grow along hairshafts away from the scalp, overlapping like tiles on a roof. It may seem almost impossible to break down. If the crust is pulled away or picked off the scalp condition while dry (not recommended!), hair will be removed with it, leaving a potentially permanent bald patch. The scalp is often moist, red and sore underneath the crust. Pityriasis Amiantacea requires professional treatment, medicated shampoos and steroid lotions alone will have no affect on reducing or controlling this condition.

Scalp Psoriasis

There are many types of psoriasis but plaque psoriasis most commonly affects the scalp. Characterised by circumscribed patches of inflammation – deep redness, covered in loose silvery white scales.

Scalp psoriasis plaques can become very thick if allowed to build and causes the hair to adhere the hair to the scalp in clumps. It may split and bleed and also cause hair thinning.

Other areas of the body may also be affected, commonly the outer elbows, kneecaps, and back but may affect any area of skin. Other family members may also be affected – a genetic link. Scalp psoriasis is not curable but may be controlled to improve quality of life.

Treatment of Scalp Conditions

We have vast experience in the treatment of all manner of scalp conditions and can advise on the best form of scalp treatment or management for your scalp condition. You can find further information on our scalp treatment methods and what to expect on our scalp treatment page.

If you would like more information, contact us directly.