You Think It’s Dandruff, But It’s Not (And What To Do About It)
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There’s an old saying that goes, “You only get one time to make a first impression.” And that is so true, especially when it comes to dandruff. Seeing those little white flakes on your shoulders and clothes is not a good look. But what you see may not actually be dandruff, it could be something more serious.
#1: It could be Seborrheic Dermatitis
Seborrheic dermatitis appears on the body where there are a lot of oil-producing (sebaceous) glands like the upper back, nose and scalp. The exact cause of seborrheic dermatitis is unknown, although genes and hormones play a role. Microorganisms that live on the skin naturally can also contribute to seborrheic dermatitis.
People of any age can develop seborrheic dermatitis including infants (known as “cradle cap”). The triggers for seborrheic dermatitis include:
– Hormonal changes or illness
– Harsh detergents, solvents, chemicals and soaps
– Cold, dry weather
According to the American Dermatological Institute, the skin disease looks more scaly and inflamed than dandruff. However, both are itchy and cause flaking—and the treatment for both dandruff and seborrheic dermatitis is the same. Though researchers are still uncertain about what causes seborrheic dermatitis, the condition may develop due to the yeast that naturally resides on skin, to weather conditions and/or to stress. Some recommend patients alternate each day using either a zinc pyrithione shampoo or a selenium sulfide shampoo. (Both antidandruff shampoos are available over-the-counter.) Rotating between the two may be a better way to keep the yeast on your scalp from overgrowing, she says. To treat related facial symptoms, a dermatologist or primary care doctor may recommend a topical antifungal or topical steroid to alleviate rashes.
#2: It Could Be Skin Cancer
Dandruff is flakiness that happens all over the scalp, while flakiness in a targeted area may be a sign of something more. So, if a patient has a new quarter-size area on her scalp that always flakes, Farah may consider skin cancer as a cause. Other signs may include that the spot won’t heal, bleeds or is painful. As you age and your hair thins at the crown, you’re at an increased risk for skin cancer in this area. If you see something while doing your hair, it’s important to bring it up with your doctor. While there are many different types of skin cancer, studies show melanoma can be especially dangerous when located on the scalp.
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