Dry scaly scalp may be due to a fungal infection. Before applying any topical medications, I would suggest that you have scrapings from the affected areas assessed microscopically. This will help us determine if a fungal infection is present. Fungal infections of the scalp may require topical antifungals and topical corticosteroids. For seborrheic dermatitis using medicated shampoos like Selsun Blue (1% selenium sulfide) may help. But first we have to ascertain that this is a fungal infection.
Avoid direct sun exposure. Applying a mild vitamin E cream to moisturize the areas may keep the dryness and scaling down until the cause is ascertained.
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