HELP HELP HELP

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ibitoye
Posts: 1
Joined: Sun Sep 23, 2012 11:49 am
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by ibitoye on Sun Sep 23, 2012 11:52 am

HELP HELP HELP

One and half years ago i started notice dandruff on my hair .....i use anti dandruff shampoo but it keep getting worse....i went to the GP who give me some medicated shampoo. The first one didn't work.The last shampoo my GP gave me was Capasal therapeutic shampoo and he also gave me Sebco coconut oil compound ointment but it leave my scalp very painfully and it also didn't work. I am starting to think is not dandruff as my scalp have a lot of bump like a bruised skin that have dried up and it itchy me and when i brush my hair u can see all the dead skin even when i just touch it the dead skin just come out like a snow fall....i do not think is dandruff am starting to think it is psoriasis....PLEASE CAN YOU HELP ME AS I AM NOW THINKING OF CUTTING MY HAIR OFF BECAUSE IT IS JUST CAUSING ME A LOT OF EMBARRASSMENT AT WORK AND I DO NOT FEEL COMFORTABLE AT SOCIAL EVENT.

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Dr Jonathan Bowling
Posts: 37
Joined: Fri May 11, 2012 11:21 am
Location: Oxford & London
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by Dr Jonathan Bowling on Sun Sep 23, 2012 1:59 pm

Re: HELP HELP HELP

Dear Ibitoye,

This does sound like scalp psoriasis. Although psoriasis usually affects the skin on the elbows and knees, it may occur solely on the scalp. There are a number of treatment options to consider usually applied together. Book an appointment with your GP to consider adding a topical steroid scalp application at night. This can reduce the inflammation and reduce the itching. In the morning I would continue with the capasal shampoo. Additionally your GP may with to add Dovobet gel at night instead of the steroid alone. Dovobet is a gel combination of steroid with vitamin D which may patients find easy to use as it is non- greasy and odourless and may be very effective.

An alternative diagnosis is seborrhoeic dermatitis of the scalp which may also cause an orangey-pink rash at the sides of the nose and eyebrows in addition to scalp scale. This can be treated with regular long term shampoos which have an anti-yeast agent, such as oilatum scalp shampoo.

I would definitely book to see your GP as all these treatments can be added to your NHS prescription. If psoriasis is confirmed and you pay for prescriptions consider getting a NHS prepayment prescription certificate, which makes treatment much more cost effective. See .....

http://www.nhs.uk/chq/Pages/2422.aspx?C ... goryID=161
http://dermnetnz.org/scaly/scalp-psoriasis.html
http://dermnetnz.org/dermatitis/seborrh ... titis.html

I hope this helps

Dr Jonathan Bowling FRCP

www.mydermatologist.co.uk
Dr Jonathan Bowling FRCP
Consultant Dermatologist
Oxford

http://www.mydermatologist.co.uk
http://www.talkhealthpartnership.com/on ... owling.php

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