Orris

dandruff , itching on scalp and diffuse hair loss whats the cuase and whats the treatment

Reading File
Finding Sources
Finding Sources
Searching PubMed

seborrheic dermatitis AND treatment

Searching the Web

American Academy Dermatology dandruff treatment ketoconazole shampoo scalp hair loss causes

Reading File
Reading File
Reading Web Page

https://www.aad.org/public/diseases/hair-and-scalp-problems/…

The combination most often suggests seborrheic dermatitis: dandruff plus scalp inflammation. It commonly causes white or greasy flakes and itching. It can increase shedding from inflammation and scratching, but dandruff alone usually does not explain major diffuse hair loss.
A separate, common cause of diffuse shedding is telogen effluvium, where many hairs shift into a resting/shedding phase, usually 2-3 months after a trigger such as fever/COVID, major stress, surgery, childbirth, rapid weight loss, low iron intake, thyroid disease, new medicines, or nutritional deficiency.
Other possibilities a clinician should exclude include scalp psoriasis, allergic/irritant reaction to hair products, fungal scalp infection, and pattern hair loss.

What you can try now

  1. Use an anti-dandruff shampoo on the scalp, not just the hair lengths, 2-3 times weekly for 4 weeks. Leave it on for about 5 minutes before rinsing. Options include:
    • Ketoconazole 1%
    • Selenium sulfide
    • Zinc pyrithione
    • Salicylic acid
      If one does not help, alternate with another active ingredient. The AAD dandruff guidance lists these options and advises following the product directions.
  2. Avoid scratching, hair oils left on the scalp, harsh chemical treatments, tight styles, and fragranced/new scalp products while the itch is active.
  3. Once controlled, use the medicated shampoo once weekly to prevent recurrence. Persistent seborrheic dermatitis may need a clinician-prescribed antifungal shampoo or a short course of anti-inflammatory scalp treatment, as described by the AAD treatment overview.
  4. Do not start iron, high-dose vitamins, or biotin supplements blindly. They can be unhelpful or cause problems. Focus on adequate protein and a balanced diet.

See a dermatologist or primary-care clinician soon if

  • Diffuse shedding lasts over 6-8 weeks, you can see widening of the part, or there is clear thinning.
  • You have bald patches, broken hairs, scalp pain, pus, crusting, marked redness, or swollen neck glands.
  • You recently had illness, heavy menstrual bleeding, childbirth, restrictive dieting, weight loss, or medication changes.
They can examine the scalp and, when appropriate, check for contributors such as anemia/iron deficiency and thyroid disease. If this is telogen effluvium, correcting the trigger usually allows regrowth, but visible recovery can take several months.

give me notes of Perform clinical breast examination (radial wagon wheel & spoke methods)

Reading File
Your credits are exhausted. You can purchase a top-up or subscribe to a plan to continue using Orris. If you're already subscribed, your daily credits will reset tomorrow.
This is a shared conversation. Sign in to Orris to start your own chat.