Needed proper medication.

[soonkuen]

I have problem with my scalp, it started a 4 months ago. I have acne all over my scalp, maybe around 5 to 6 of them at any time. Its itchy, red skin, inflammation around the area for a few days until i apply ketoconozole cream. I hav tried taking kotoconazole tablet (400mg /day) and fluconozole on a weekly basis. I try going to a hot spring (natural) which believe to have to cure. so far Its getting better but i still feel something on my scalp, which is not normal.

1.Am i having seborrheic demartitis or normal acne?
2.In my part of the world our dermatologist may take things easy and usually prescribe the wrong medicine, what is your opinion?
3. I shampoo my hair daily before this and i keep my hair as clean as i can.
4. Can it be cured fully?
5. What medication would be suitable?  


This discussion is related to Scalp folliculitis or not?.

[BhumikaMD]

Hi,

This could be seborrhoeic dermatitis. It is a skin disorder affecting the scalp, face, and trunk causing scaly, flaky, itchy, red skin. It particularly affects the sebum-gland rich areas of skin.

Side effects to inflammation may include temporary hair loss. If severe outbreaks are untreated for extended intervals, permanent hair loss may result, because of damage to hair follicles.

http://en.wikipedia.org/wiki/Seborrhoeic_dermatitis

Soaps and detergents such as sodium laureate sulfate may precipitate a flare-up, as they strip moisture from the top layers of the skin, and the drying property of these can cause flare-ups and may worsen the condition. Accordingly a suitable alternative should be used instead.

Among dermatologist recommended treatments are shampoos containing coal tar, ciclopiroxolamine, ketoconazole, selenium sulfide, or zinc pyrithione. For severe disease, keratolytics such as salicylic acid or coal tar preparations may be used to remove dense scale. Topical terbinafine solution (1%) has also been shown to be effective in the treatment of scalp seborrhoea,as may lotions containing alpha hydroxy acids or corticosteroids (such as fluocinolone acetonide). Pimecrolimus topical lotion is also sometimes prescribed.

It would be advisable to consult a skin specialist for his symptoms and a proper clinical examination if the symptoms persist.

Let us know if you need any other information and post us on how he is doing.

Regards.

[soonkuen]

I am getting better, no more bumps, spot icthy at certain part, i keep using ketoconazoles cream, I still take the tables ketoconozoles 400mg/day. I used coconut oil for overnite. dandruff shampoo, listening wash daily. an a medical spray with methosome. Doctor how much longer do i have to take the ketoconazoles. what abt fluconozoles? Yeah my scalp is much better maybe 80% better.

[BhumikaMD]

Hi,

It is nice of you to keep us posted and we are glad to hear that you are symptomatically better.

You would need to continue the medication for a little while after you are completely asymptomatic.

It would be ebst if you could get a physician consultation before you stop the medicated shampoos.

Let us know if you need any other information.

Regards.

[soonkuen]

I cure my SD. No more flak, lumps, itchness, nothing. Watch out guys, Ketoconozoles, fluconozoles and others prescibe by doctors will make your SD worse. Shampoos may help for a while but not those "topical medicine". I found a miracle cream made of herbs, i applied it on my scalp, it smell wonderful and the inflamation (inflammation) gone within a few hours and after 3 days i felt much better and today i dare say i am OK.

[BhumikaMD]

Hi,

It is nice of you to keep us posted and we are glad to hear that you are symptomatically better.

You would need to continue the medication for a little while after you are completely asymptomatic.

It would be best if you could get a physician consultation before you stop the medicated shampoos.

Let us know if you need any other information.

Regards.