Sore flaky scalp: what to know

Flakes may be loose and dry or greasy and attached to irritated skin. Dandruff and Seborrheic Dermatitis can cause scaling with itch or tenderness. Scalp Psoriasis may produce thicker, sharply defined plaques, while Scalp Ringworm can cause broken hairs, patches of hair loss, or swollen areas. A reaction to hair dye, shampoo, or styling products is another possibility.

Pause newly introduced hair products and use lukewarm water with a gentle cleanser. Avoid scratching, picking scales, or brushing forcefully over sore areas. A pharmacist or clinician can guide use of Medicated Shampoo Treatment, including how long to leave it on and how often to use it. Do not share combs, brushes, hats, or towels if an infection is possible.

Book an examination if soreness persists, flakes return despite appropriate care, or you notice crusting, pus, bleeding, swollen glands, or a change in hair density. Seek prompt advice for rapidly spreading redness, significant swelling, fever, or a painful area with hair loss, especially in a child.

Ask whether the scale pattern fits Dandruff, Seborrheic Dermatitis, Scalp Psoriasis, or Scalp Ringworm, and whether a product should be stopped or a scalp test is needed.