Dry spot on the scalp with hair loss

A single scaly patch with broken hairs, tenderness or swollen glands can occur with Scalp Ringworm and needs medical treatment. A smooth, sharply outlined area may fit Alopecia Areata, which can affect hair without obvious scale. Tight hairstyles may cause Traction Alopecia. Male Pattern Hair Loss and Female Pattern Hair Loss usually follow broader patterns, while Telogen Effluvium often causes diffuse shedding rather than one scaly spot. These patterns can overlap, so inspection is useful.

Avoid scratching, picking flakes or applying strong oils and medicated products without guidance. Wash gently, keep combs and pillowcases personal, and pause tight braids, extensions or styles that pull. Take a clear photo of the area and note whether hairs are shedding from the root or breaking near the scalp. Do not share brushes or hats if infection is possible. A dermatologist can examine the skin and hair shafts and choose treatment based on the cause.

Arrange prompt medical review for a growing patch, broken hairs, pus, crusting, pain, marked itch, fever or swollen neck glands. Seek urgent advice for rapidly worsening swelling or severe tenderness. Early assessment matters when infection, scarring inflammation or significant traction may threaten follicles.

Does the scale suggest infection, eczema or another scalp condition? Is the hair falling from the root or breaking? Should I stop a hairstyle or product? Would testing or prescription treatment be needed?