Dandruff is one of the most common complaints encountered daily
in our clinical practice. People commonly misinterpret
it as increased dryness of the scalp skin or increased flakiness which is not
only a cause of social embarrassment but also leads to increased
hair loss.
Q What is Dandruff?
Ans It is an inflammatory condition of the skin
which presents as erythema and greasy scaling in areas which are rich in Sebum(
The ‘oil like ‘ thing appearing on face and hair if not washed. Its purpose is
to prevent skin and hair from drying and making their surface waterproof)
Q What is the cause of dandruff?
Ans Excess of sebum in some patients causes overgrowth of
fungus known as Malassezia furfur which is a part of the
normal flora This fungus leads to breakdown of sebum into byproducts which
activate immunity at the local site causing flaking of the skin easily
mistaken by folks as dryness of skin which is rather a weird reaction
Q What routine practices should we adopt to keep our scalp
healthy ?
Ans a) Keep the scalp degreased and oil free which
entails frequent shampooing and keeping the scalp oil free Regular use of Anti
fungal shampoos with Ketoconazole 2% at-least twice or
thrice a week is helpful
b) Make sure you apply the shampoo on the scalp skin and not on
the hair. Keep the shampoo on for about five minutes and then rinse thoroughly.
It is very important to rinse the hair products thoroughly to
prevent a build up which may aggravate the condition.
Do not apply hair oil which increases the fat content hence
increasing the Fungal colonization and aggravating the condition .
This is in contrary to the popular myth that Oiling will bring down the dryness
But in reality It is the other way around.
d) Dandruff is more of a tendency rather than a disease as
it tends to come back if treatment is stopped midway
and maintenance treatment is not followed properly.
e)Use of anti dandruff shampoos may make the hair look
dull and frizzy which is of temporary nature. Consult your dermatologist for
supportive measures.
f) Consult your Dermatologist before taking up any Hair Spa
measures which generally involve hair oil massages . As told above it may not
be the best option for long term.
g) Consult your Dermatologist if it
still doesn't respond to these measures a or else Dry scaly patches
are seen on the face , behind the ears or middle of chest. This
could be a severe form of dandruff known as Seborrheic Dermatitis
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