Thick Patches Accompanied By Itching On The Scalp?

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Hello. I want to ask, my father is 55 years old experiencing skin diseases such as dandruff in the head. Already a variety of drugs are used but it never goes away. It feels itchy, and there are sore parts when scratched. Same as dandruff but thick. My father has experienced this for a long time. Is this really a psoriasis? Isn’t this psoriasis only experienced by people aged 20 to 30 years? There are also those who say that Psoriasis is only a month or 2 months old. But my father has experienced it for years. Please help .. thanks ..

1 Answer:

Good evening, thanks for the question
Complaints of thick spots accompanied by itching on the scalp can be caused by several conditions, including:
1. Psoriasis
Psoriasis is a chronic disease characterized by rapid skin cell turnover accompanied by an inflammatory process. Psoriasis on the head cause complaints in the form of very thick reddish spots with firm limits beyond the hair growth limit which is also accompanied by complaints of itching. Symptoms of baldness are rarely found in this case. Treatment of psoriasis includes topical medications, light therapy, injection or oral drugs (non steroidal, steroid, or DMARDS).
2. Seborrheic dermatitis
Is a condition of skin inflammation due to excessive oil gland activity. Clinical symptoms include red to yellowish spots that also appear oily, itchy, crackling, or dandruff. Seborrheic dermatitis can also be accompanied by fungal infections. Other locations of seborrheic dermatitis such as back, face, forehead, armpits, groin, and upper chest. Treatment includes antifungal shampoo, corticosteroid ointment, or light therapy.
3. Tinea capitis
Is a dermatophyte fungal infection that can attack the hair, skin or nails. Skin disorders in the form of gray plaque accompanied by itching, hair does not look shiny and brittle, and local baldness. Treatment with administration of antifungal topical form (shampoo) or oral.
The three of them have almost the same symptoms, so it is necessary to do a physical examination of skin disorders directly by the doctor. Treatment will certainly be based on the cause. While you should avoid scratching the scalp because it will risk further skin irritation, as well as bathing and shampooing regularly, and wash with soap or shampoo.
That's all, hope it helps
Wassalam

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