Flaky scalp and hair loss

Scratching an itchy scalp can break hairs and cause temporary shedding, while inflammation may make the scalp uncomfortable and affect hair growth. Dandruff and Seborrheic Dermatitis commonly present with itching and scale, but visible hair loss should still be assessed if it is new or progressing. Scalp Psoriasis can produce thick plaques that shed and may pull hairs out when scale is picked. Scalp Ringworm can cause scaling, broken hairs, tender patches, or areas of hair loss and needs prescription treatment. Hair shedding can also have a separate cause, so the flakes do not identify the diagnosis by themselves.

Avoid scratching, tight hairstyles, extensions, bleaching, and chemical treatments until the scalp is clearer. Wash gently with lukewarm water and a mild shampoo, and do not pull off attached scale. Take clear photographs in the same lighting and note whether hairs are shedding from the root or breaking near the scalp. Do not share combs, brushes, hats, or towels if ringworm is possible. Ask a clinician whether Medicated Shampoo Treatment is appropriate; hair loss with inflammation may need more than shampoo alone.

Book a dermatology appointment promptly for smooth bald patches, rapidly increasing shedding, broken hairs, pus, crusts, swollen areas, significant tenderness, or thick plaques. Seek urgent help for fever with a painful spreading scalp infection or sudden facial swelling. Early examination helps separate scalp inflammation or infection from hair loss that began independently.

Ask whether the hair is breaking or shedding, whether the scalp resembles Dandruff, Seborrheic Dermatitis, Scalp Psoriasis, or Scalp Ringworm, and whether an examination or sample is needed before treatment.