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Itching scalp and dandruf

Itching scalp and dandruff on scalp and hair loss and white hairs and also some red painful dots somewhere on scalp they are painful when pressed with nails and
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Dr. Manoj Agarwala
Dermatologist 11 yrs exp Delhi

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Thanks for the query. Severe dandruff could indicate dandruff itself which is significant or can indicate beginning of some other skin condition like Seborrheic dermatitis or Scalp psoriasis. Based on your description of pain it looks like a superficial bacterial infection usually caused by staphylococcus aureus. Sometimes they co-exist with fungal folliculitis.
Next Steps
Kindly consult a dermatologist for exact diagnosis and a precise treatment plan. It is also important to prevent their relapse once you have got it cured. A decolonization regimen suggested by your doctor will help.
Health Tips
Consider using an antifungal shampoo on alternate days.
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