The scalp is a sensitive area of the body that is susceptible to various conditions. Bumps, sores, and scabs on the scalp can result from a range of underlying issues, each requiring different treatments. Here are nine common scalp conditions that can cause these symptoms:
Seborrheic Dermatitis Seborrheic dermatitis, commonly known as dandruff, causes red, scaly patches and persistent itching. In severe cases, the affected areas can become sore and develop scabs. This condition is often triggered by yeast overgrowth or changes in weather and can be managed with medicated shampoos containing zinc pyrithione, selenium sulfide, or ketoconazole. Psoriasis Psoriasis is an autoimmune condition that leads to the rapid buildup of skin cells, forming thick, silvery scales. When it affects the scalp, it can cause painful sores and scabs, accompanied by intense itching. Treatments include topical corticosteroids, medicated shampoos, and light therapy. Folliculitis Folliculitis occurs when hair follicles become inflamed due to bacterial or fungal infections. It presents as small, red bumps or pustules on the scalp that can be painful and may scab over. Good hygiene and topical antibiotics or antifungal treatments can help alleviate symptoms. Scalp Ringworm (Tinea Capitis) This fungal infection leads to itchy, scaly patches on the scalp, often with hair loss in the affected areas. Left untreated, it can cause painful sores and scabs. Prescription antifungal medications are necessary to treat this condition. Contact Dermatitis Contact dermatitis occurs when the scalp comes into contact with irritants or allergens, such as hair products or dyes. Symptoms include redness, swelling, and scabs. Identifying and avoiding the trigger is key to managing this condition. Lichen Planopilaris This rare inflammatory condition causes red or purplish bumps on the scalp, often leading to scarring and hair loss. It’s believed to be autoimmune in nature and may require oral or topical steroids to reduce inflammation. Scalp Eczema Eczema on the scalp can lead to dryness, flaking, and sores. This condition is often linked to allergies or a weakened skin barrier. Regular use of moisturizing and medicated shampoos can help control symptoms. Pilar Cysts Pilar cysts are benign, fluid-filled lumps that develop under the scalp’s surface. Though typically painless, they can become inflamed or infected, leading to sores and scabs. Surgical removal may be required in some cases. Head Lice Infestations of head lice can cause intense itching, leading to scratching and the formation of sores and scabs. Over-the-counter treatments and thorough cleaning of personal items can effectively eliminate lice.
If you experience persistent or severe symptoms, consult a dermatologist to identify the underlying cause and receive appropriate treatment.
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