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DocPhilMD, Doctor
Category: Dermatology
Satisfied Customers: 55748
Experience:  Internal Medicine Physician
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I have a persistent inflammation on my scalp. At times it's

Customer Question

I have a persistent inflammation on my scalp. At times it's been associated with swollen lymph nodes at the base of my skull. I made my way through various OTC shampoos for dandruff and none did the trick. After about a month of using a coal tar shampoo, I went to a dermatologist. (Actually, I saw the PA.) During the initial visit some hair loss was noticed; about a quarter sized spot on the crown of my head. A biopsy was taken. Steroids and antibiotics were prescribed. The diagnosis was lichen planopilaris. During the course of antibiotics, my lymphs were painfully swollen. This passed after they were done. Later, hydroxychoroquine was prescribed. The treatment was marginally successful in reducing itch and my hair grew back. I have been questioning the diagnosis and was wondering if I should seek a second opinion. There are a couple of reasons for questioning. One, I don't have associated lichen planus. Two, the inflammations spreads if I don't shower for a day, but is knocked back using zinc pyrithirone shampoo. Missing a day of bathing makes my cheeks red and irritated after the shower. Any thoughts?
Submitted: 1 year ago.
Category: Dermatology
Expert:  DocPhilMD replied 1 year ago.

do you have any pics?

Expert:  DocPhilMD replied 1 year ago.

please attach a pic