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  5. I have dandruff patches on my scalp, especially near the hairline and sideburns, and I am also experiencing hair fall because of this. I have similar flaky skin on my eyebrows and a little around my nose. Additionally, I have crusty skin behind my ears and white flakes on my earlobes that have persisted for the past 2 months. My earlobes have become stiff and hardened due to the scaly skin. Could you please advise what this might be and suggest suitable treatment options?

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I have dandruff patches on my scalp, especially near the hairline and sideburns, and I am also experiencing hair fall because of this. I have similar flaky skin on my eyebrows and a little around my nose. Additionally, I have crusty skin behind my ears and white flakes on my earlobes that have persisted for the past 2 months. My earlobes have become stiff and hardened due to the scaly skin. Could you please advise what this might be and suggest suitable treatment options?

Asked by Female, 22 ยท 20 days ago

Your symptoms are most likely due to seborrhoeic dermatitis, a common skin condition that causes dandruff and flaky patches on the scalp, face, and ears. It can also contribute to temporary hair fall due to scalp inflammation. Treatment usually includes antifungal shampoos such as ketoconazole, medicated creams for affected areas, and short courses of mild steroid lotions if needed. Since your symptoms have persisted for 2 months, it is advisable to consult a doctor for a proper diagnosis and a tailored treatment plan.
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I will outline likely causes, which specialist to see, and practical treatment steps for the flaky, crusty patches on your scalp, eyebrows, nose area and earlobes that have lasted about 2 months.

โš•๏ธ Possible Causes

  • Seborrheic dermatitis โ€” matches greasy, flaky patches at the hairline, sideburns, eyebrows, nose folds and behind ears; can cause local inflammation and hair shedding.
  • Psoriasis โ€” can produce thicker, wellโ€‘demarcated scaly plaques that become stiff or crusty and persist despite routine care.
  • Fungal/yeast involvement (Malassezia or tinea) โ€” can cause flaky, crusted patches and sometimes extend to earlobes; may coexist with the above.

๐Ÿฉบ Specialist to Consult

  • See a dermatologist (skin specialist) for an exam, targeted skin scrapings or microscopy if needed, and a prescription plan tailored to whether this is seborrheic dermatitis, psoriasis or a fungal problem; mention the 2โ€‘month duration and earlobe changes at your visit.

๐Ÿ’Š Treatment Options

  • Medicated shampoos: antifungal (ketoconazole) or selenium sulfide shampoos used 2โ€“3 times/week, left on 3โ€“5 minutes, then rinsed.
  • Topical therapy: antifungal creams for yeast; shortโ€‘course lowโ€‘potency topical corticosteroids for inflamed patches โ€” only as directed by the dermatologist.
  • Skin care: gentle nonโ€‘soap cleansers, regular moisturizers, avoid harsh styling products or frequent scratching.
  • Avoid longโ€‘term steroid use on the face/ears because it can thin skin and worsen problems.
  • Hair fall: often improves once scalp inflammation is controlled; follow up with the dermatologist if hair loss continues.

If you want, I can explain how to use medicated shampoos or what to expect during a dermatologist visit.

Answered 20 days ago

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