Followup question re: scalp squama/scabs/crust, hair loss

I posted a question here a couple days ago (link below). Thank you for replying Dr. Jankicevic.

Followup question: since my scalp has been partially covered by white squama (scabs? "crust"?) for the last few weeks, is it important to take action to remove this squama immediately? Could it be permanently damaging my hair follicles?

I have an appointment with a dermatologist in 2 weeks and am reluctant to take action until then but of course I want to do something if I'm potentially going to lose hair.

Is there any potential downside to rubbing olive oil into my scalp, leaving it, and washing it out? Could it further worsen the condition I have, or otherwise distress my hair/scalp?

Thank you in advance.

Previous question:

http://www.medhelp.org/posts/Dermatology/Scalp----scabs--dry--eczema--or-Losing-hair-Please-help/show/1416916

[Jasmina Jankicevic, MD, MSc, CCRP]

You are very welcome! I am glad that we could help.

Neither Psoriasis nor Dematitis sebboroica, nor Eczema cause permanent hair loss.  Even if you do not take any action to gently remove whitish/yellowish scales until you see your dermatologist (which is soon anyway), hair will regrow.

Possible downsize to applying extra virgin olive oil on one’s skin would be developing irritation or allergic reaction if that one is sensitive to using it topically. The reason it is used for removing squama (even mild cradle cap in infants) is because it softens scales and makes them less adherent to the skin of the scalp. In addition, some scientific studies are indicating other beneficial properties, including promoting wound healing (further research is warranted).

If nothing else, you should wash your hair regularly (you might find suggestions from our answer to your initial question quite useful).

There are skin diseases related to permanent hair loss but what you described in earlier post did not sound like one from that group. Therefore, it does not seem to be a reason for you to worry. Besides, I am sure your dermatologist will take into account all possible differential diagnoses before establishing the final diagnosis and treatment plan.


Wishing You Optimal Health,
Dr Jasmina Jankicevic