Scalp Rash

[87bronco]

Greetings,

I have had a recurring scalp rash for as long as I can recall.  I usually wear my hair shaved, but as it regrows, so does the irritation.  I recently decided to try to grow the hair out again, and tonight had to shave because of the persistent itching.  I am currently without medical insurance, and am looking to get a preliminary idea of what I am dealing with.

Please see the attached photos...  http://picasaweb.google.com/embus2/UntitledAlbum?feat=directlink

This has happened once recently before at this magnitude, however after shaving the hair and a few days of shampooing with anti-dandruff shampoo, the condition completely clears, visibly and discomfort-wise.

I have examined photos online of the three culprits I suspect, ringworm, psoriasis, and eczema - however nothing seems to really match up exactly.  Although I am not worried about my condition, I would  like to grow some hair back without irritation, and do not want a potential chronic issue worsening over time...  Any suggestions are really appreciated!

[87bronco]

Thank you for your time.  As you say it "sounds" like tinea, I was just wondering if you were able to view the pictures at the link I posted?

Thanks again!

[Bhupinder Kaur, MD]

Hello,
I cannot confirm anything without examination but it sounds like fungal infection tinea capitis. It is contagious and can spread direct contact with someone who has the condition, or if you touch contaminated items such as combs, hats, clothing, or similar surfaces. Treatment includes washing the scalp with shampoo with selenium sulfide (2.5%) or zinc pyrithione (1-2%) used 2-3 times weekly at home. Oral steroids, Griseofulvin and oral antifungals may also be required. I suggest you to get it evaluated from a dermatologist. Diagnosis is by clinical examination of the scalp as well as a skin lesion biopsy with microscopic examination.

I hope it helps. Take care and please do keep me posted in case you have any additional doubts. Kind regards.