Dry, Itchy Scalp in Black Hair

Dandruff or Seborrheic Dermatitis can produce scale and itch around the scalp, hairline, ears, or brows. Scalp Psoriasis may create thicker, sharply outlined scale that extends beyond the hairline. Folliculitis can cause tender or itchy bumps around hairs. Head Lice cause intense itch and attached nits, especially behind the ears and at the nape. Braids, extensions, tight styles, chemical treatments, fragranced oils, and infrequent washing can also irritate the scalp or make inspection harder.

Part the hair gently so the scalp can be inspected and cleansed without rough scratching. Use a mild shampoo on the scalp, rinse thoroughly, and let it dry fully before covering it. A Medicated Shampoo Treatment may help dandruff or seborrheic scaling when used according to instructions; allow the product to contact the scalp rather than only the hair. Avoid tight styles, picking, and products that burn or leave heavy residue. If lice are found, follow Head Lice Treatment guidance and check close contacts as advised.

Arrange assessment for painful bumps, pus, thick plaques, bleeding, broken skin, patchy hair loss, or a sudden change after a dye or relaxer. Seek prompt care for facial swelling, breathing difficulty, fever, or rapidly spreading redness. Medical review is useful when itch persists despite a careful routine, when nits are suspected, or when scratching is damaging the scalp, because lice, inflammation, infection, and product reactions need different treatment.

Does this look like Dandruff, Seborrheic Dermatitis, Scalp Psoriasis, Folliculitis, or Head Lice? How often should I wash my scalp? Is a medicated shampoo safe with my hairstyle or chemical treatment? Do the bumps or hair-loss areas need testing?