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Dr. Nair
Dr. Nair, Dermatologist
Category: Dermatology
Satisfied Customers: 9190
Experience:  MBBS, MD (Dermatology, Venereology & Leprology)
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I have intense scalp itch with raised bumps on the scalp.

Resolved Question:

I have intense scalp itch. There are raised bumps on the scalp. I have tried every dandruff shampoo product on the market. I have tried rinsing with cider vinega.r and pepperment oil. I now have a spot of itchy rash about small hot cake size on my shoulder, I have been treating it with hydrocortizone cream but it never totally goes away
Submitted: 5 years ago.
Category: Dermatology
Expert:  Dr. Nair replied 5 years ago.

Would it be possible to take a photograph of this rash on the shoulder at your convenience?

Customer: replied 5 years ago.
No one here to photograph the rash
Expert:  Dr. Nair replied 5 years ago.
Okay no problem. Tell me how long have you had this scalp itch? Is there also associated flaking or scaling in the scalp or on the patch on your shoulder?

Do the itchy bumps on the scalp come and go every few hours or do they last longer?

Any other significant medical history?
Customer: replied 5 years ago.
I have had the itching for about 6 months. The bumps are permanent though the periods of intense itching come and go. There is some flaking but not a large amount. I have suffered with post herpetic neuralgia for almost 3 years.
Expert:  Dr. Nair replied 5 years ago.

There are two possibilities given your history. The first is Scalp Psoriasis and the second is Seborrheic Dermatitis (Seb Derm). Both of these can affect the scalp as well as body skin and will explain both your scalp and shoulder symptoms.

Psoriasis is an autoimmune condition affecting the scalp and skin most commonly.

Seb Derm is a condition where the body loses tolerance for a yeast called Malassezia (which is present normally on all our skins) and starts attacking it leading to redness and scaling. Itching is variable but can be severe.

If possible I would recommend discussing both of these with your doctor since they are best treated with prescription products. If not here is what I would recommend as far as an over the counter regimen goes:

Psoriatrax 5% Coal Tar shampoo + Nizoral-AD shampoo: Mix in equal proportion and lather onto the scalp. Leave on for 5 minutes and then rinse off. Do this every alternate day. On the off days use a regular shampoo like Dove.

Mg 217 Psoriasis lotion: Apply once at night before sleeping and then wash off in the morning. Use daily for 6 weeks and then 2-3 times a week for 3 months.

On the shoulder patch apply 1% Cortizone cream mixed in equal parts with 1% Clotrimazole cream. Apply twice a day for 14 days and then once at night for 4 weeks.

Omega-3 Fatty Acid capsules: one morning and evening for 3 months

Tab Claritin 10 mg twice a day for 14-21 days

No hair oil application

NOTE: All of the above are available without a prescription on

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