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Do these lumps form at the same place every time?
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They are pretty uniformly spread over my whole head,.
Okay, are they scaly as well? And how long have you been getting them for?
No, not scaly (though can't actually see them!). More like raised spots which become very tender.Have been getting them 3 -4 years, on and off.
Alright, this seems very similar to scalp folliculitis which is an inflammatory reaction of the hair follicles of the scalp.
There is a chance that this is Seborrhic dermatitis but those lesions are scaly and dry, no foul smelling discharge and they are not tender.
What could be the trigger? And best treatment?
Scalp folliculitis is usually bacterial or fungal in origin, so it needs to be treated simultaneously with anti fungal shampoos and topical antibiotic ointments.
However, itch, you should start using an anti histamine like cetrizine twice a day or loratidine twice a day, both are OTC, so you can get one of them and start on them, so the itching is relieved.
Mean while, I would suggest that you start using an anti fungal shampoo like Ketoconazole shampoo or ciclopirox shampoo on alternate days or once a day days.
Topical antibiotics are usually Fuscidin ointment, which is of benefit bacteria that are most commonly the pathogens that cause this.
That is to be applied twice a day on the lesions.
If the symptoms don't seem to be going away in 10 days, you will need to see a dermatologist culture test to identify the pathogen involved and the antibiotic it is sensitive to. Sometimes, in stubborn lesions, oral antibiotics or anti fungals are required.
The cause is not well understood. However, sweating and dirt have a role to play along with may be an autoimmune factor, but theories are disputed.
Do you have more queries?
It sounds like sweating could be key - I have quite a lot of hair! Am wondering if this could also cause facial spots, or is that just coincidence?
What kind of facial spots?
Are you there?
Not really. I'd just like to break the vicious circle of inflammation, scratching and then more inflammation! Will try the products, thank you.
Please do. I hope they help.
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