For the last year I have began experiencing lumps on my scalp and face. They look like a hive from some sort of allergy, there is no head, they are hard and typically red and itchy. They only appear when I am exposed to the sun and most of the time it takes several weeks for the lumps to go away even when there is no repeated sun exposure. I have treated them with OTC creams for allergy etc. with no results. The rest of my body doesn't react to the sun this way. One doctor told me it sounded as if it is some sort of sabaceous issue. However, no derm has put much effort into my issue. Any help???
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.
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 you are doing.
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