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Ask Dr. S. Attili Your Own Question
Dr. S. Attili
Dr. S. Attili, Dermatologist & Dermatopathologist
Category: Dermatology
Satisfied Customers: 5175
Experience:  MRCP (Dermatology), Int. Board Certification in Dermatopathology
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Itchy scalp red spots. Scrstch a lot. Tried antibiotics, tea

Customer Question

Itchy scalp red spots. Scrstch a lot.
Tried antibiotics, tea tree oil different medicated shampoos
Jow can i send you a few pictures
I believe they will be self explanatory.
Submitted: 1 year ago.
Category: Dermatology
Expert:  Dr. S. Attili replied 1 year ago.
Hello. I am Dr. Venkat Attili, Dermatologist and Dermatopathologist with over 10 years of experience in this field. I am here to assist you and will answer your questions to your complete satisfaction. Can you please upload a picture at your convenience?
Customer: replied 1 year ago.
Here are some pictures.
Expert:  Dr. S. Attili replied 1 year ago.

Thank you. Can you tell me what antibiotics at what dose and duration you have used please? Which shampoo's did you use? Do you have skin problems elsewhere?

Customer: replied 1 year ago.
I dont know the medication, i was on it for 10 days to deal with what my GP said was folloicititus, other than that i would send you he actual med when i get home later. The shampoos are T Gel cold tar based from Neutrogena and head and shoulders with eucalliptus and have added tea tree oil.
Expert:  Dr. S. Attili replied 1 year ago.


Your pictures are suggestive of infection of the hair follicles, a condition called folliculitis. I would suggest the following treatment for this:

1. Clindamycin gel applied twice daily all over the scalp

2. Rifampicin 600mg tab- taken once daily for 20 days

3. Clindamycin 300mg tab taken twice daily for 6 weeks. - you can stop this in 20 days if your scalp is completely clear.

4. T-Gel Shampoo- use daily

This should clear it up. However you will need to ask your doctor for a prescription for these as over the counter creams generally do not work. To prevent recurrence, please continue using the shampoo and avoid shaving your head (just use a trimmer).

Do not worry, this is nothing serious.

Hope this helps. Do keep me posted & get back if you have any further questions or feel that I have missed out anything. I will be here to provide ongoing advice as necessary. Best wishes.