WHAT DO WHEN FACED WITH A PATIENT WHO COMPLAINS OF ITCHING ON THE SCALP?

WHAT DO WHEN FACED WITH A PATIENT WHO COMPLAINS OF ITCHING ON THE SCALP?

 

First, examine it to see if there is not a seborrheic eczema or psoriasis.

These two diseases are common. We observed significant redness and flaking of the scalp . It can be seen more often, a thin, adherent dandruff and scalp a little red. These factors reflect an irritation due to external products. We can also not to forget us of lice ! I constantly find nits.

WHEN THERE IS NO VISIBLE PATHOLOGY, HOW TO EXPLAIN THE RASH?

Itching may accompany a globally sensitive skin.

I question my patients about the frequency of washes and the type of shampoo they use. The very frequent washing with shampoos not adapted , can trigger a chronic irritation, itching source . You can install a vicious cycle: the itch, inflammation is increased. Drying with excessive temperature can also harm the scalp. Should not be underestimated the stress, as this significantly aggravates the urge to scratch.

WHAT DOES IT SUGGEST IN THIS CASE?

I begin by treating the cause.

There are effective treatments in the aforementioned pathologies. If it is an external irritation , explain to the patient the importance of using mild shampoos ; of rinse well and not use keratolytic shampoo daily. There are products post-shampoo cosmetics to appease the scalp very sensitive. The brushing should be very soft. Act against stress is more difficult, but the awareness may in itself be beneficial.