What should you know about dandruff in dreads?

Scale can sit at the scalp and collect where locks meet the skin. Seborrheic dermatitis may cause greasy flakes, redness, and itch, while dry skin, product buildup, psoriasis, or irritation from a new product can have a similar appearance. [Dandruff](/conditions/dandruff/) is a useful starting point, but a diagnosis depends on the skin findings.

Moisture that remains at the roots after washing may add discomfort and odour. Scraping beneath locks can injure the scalp, so loosened flakes should be removed gently rather than lifted with nails or sharp tools.

Follow a regular cleansing routine that reaches the scalp, rinse thoroughly, and allow the locks and roots to dry completely. Reduce waxes, heavy oils, and fragranced products when they leave residue or worsen itch. A clinician may recommend [Medicated Shampoo Treatment](/treatments/medical-dermatology/medicated-shampoo-therapy/) or, when appropriate, [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/). Ask how to apply treatment without soaking the locks unnecessarily.

Book an appointment for persistent [Itchy Scalp](/symptoms/itchy-scalp/), bleeding, tenderness, pus, thick crusts, spreading redness, or patchy hair loss. Get advice if repeated washing makes the scalp burn or if flakes return quickly. A clinician can check whether the problem is inflammation, infection, product reaction, or traction.

Ask how to wash between locks, how long roots should dry, which ingredients to avoid, and whether a leave-on treatment is suitable for your scalp and hairstyle.