Dandruff on the head in large clumps may be caused by seborrheic dermatitis, scalp psoriasis, asbestos chaffing, tinea capitis and other diseases. It is recommended to make a clear diagnosis, take good care of the local area, and give internal and external antifungal, anti-infective and immunosuppressive drugs for treatment.
1. Seborrheic dermatitis: Seborrheic dermatitis can occur on the head, resulting in greasy, grayish-yellow crusts or scales on the scalp. Ketoconazole and selenium disulfide lotion can be given. If the lesions are extensive and the inflammation is severe, topical glucocorticoid medications, such as halometasone cream, are given if necessary. When itching symptoms are obvious, supplemented with antihistamines, such as loratadine can help relieve symptoms.
2. Scalp psoriasis: Scalp psoriasis, resulting in red patches on the scalp, accompanied by a large number of silver-white dry scales. You can use topical capotriol, betamethasone propionate scalp rub. If necessary, with oral cyclosporine, methotrexate and other drugs systemic treatment.
3. Asbestos chaff rash: Asbestos chaff rash is a chronic skin disease, can also occur in the scalp, resulting in local gray-white scales. It is recommended to use sulfur ointment and tar ointment under doctor’s guidance. If accompanied by bacterial infection, mupirocin ointment, fusidic acid ointment and other treatments can be given.
4. Tinea capitis: Tinea capitis is an infectious disease caused by fungal infection of the scalp, which can involve the hair and scalp and lead to increased dandruff. Anti-fungal oral drugs can be given, such as terbinafine and ashwagandha. If necessary with sulfur ointment, terbinafine cream treatment.
The appearance of large flakes on the scalp is considered to be related to the above diseases. It is recommended to go to the dermatology department of the hospital to clarify the cause, and then treat the cause of the disease.