Very Flaky Scalp: What You Should Know

Flakes can be dry and fine or greasy and yellow, and the scalp may itch, feel sore or develop visible redness. Dandruff and Seborrheic Dermatitis often affect the scalp and may also involve the eyebrows or sides of the nose. Scalp Psoriasis can create thicker plaques that extend beyond the hairline. Scalp Ringworm may cause scaling with broken hairs or patches of hair loss. Examining the scalp helps separate these patterns; flaking alone does not establish the cause.

Wash regularly with lukewarm water and massage the scalp gently with fingertips rather than scratching with nails. Avoid picking scales, tight hairstyles, heavy fragranced products and sharing combs or hats. A Medicated Shampoo Treatment may be useful when dandruff or seborrhoeic inflammation is suspected; follow its directions and allow the lather the recommended contact time. If the scalp is very inflamed, painful or losing hair, arrange a clinical review before trying several products.

Book an appointment if flaking persists, returns quickly after treatment, or comes with thick plaques, bleeding, tenderness or hair loss. Seek prompt care for pus, spreading redness, fever or marked swelling. A child with a scaly patch and broken hairs should be assessed because scalp infection can need prescription treatment.

Does my scalp pattern fit Dandruff, Seborrheic Dermatitis, Scalp Psoriasis or Scalp Ringworm? Which shampoo should I use and how often? Should close contacts avoid sharing hair tools? What should I do if hair loss appears?