Also known as Tinea Amiantacea, Pityriasis Amiantacea is an eczematous condition of the scalp resulting in hair loss in which thick tenaciously adherent scale infiltrates and surrounds the base of a group of scalp hairs. Pityriasis amiantacea was first described by Alibert in 1832 — an inflammatory condition of the scalp in which heavy scales extend onto the hairs and bind the proximal portions together. It is not caused by a fungus.

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A rare form of autoimmune scalp problem, seen in association with Psoriasis.Thick sticky scabs are seen adhered to scalp which are difficult to remove. On removal of such scabs yellow sticky discharge oozes. Peeling of such scabs is not advisable as it leads to permanent scarring of the scalp underlying, in turn causing scarring alopecia.

A careful approach is a must and a patient is given a care regimen to delicately get rid of such scabs. Post which, a relapse is controlled with a feasible regimen and if needed oral administration of amino acid.


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An entity seen more frequently than thought of. Increased use of chemicals for fashion treatments leads to contact dermatitis. Patient presents with inflamed patchy lesions or general inflammation of the scalp. Redness, burning, itching are common symptoms.In such cases the first advice is of course to recognise the triggering cause and refraining from it. Scalp needs emollients to soothe and heal. This may not need any internal treatment unless there are other associated complaints.


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Needs Surgical excision and cannot be treated with medicine.

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