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Dandruff is the most common scalp condition; it is usually chronic, presenting as white or grayish flakes of dead skin cells. The excessive shedding of flakes resulting in intense itching; which naturally leads to forcible scratching to relieve that itch, it weakens the hair follicles and ultimately leads to hair fall. Dandruff is often associated with either oily or dry scalp.
Dandruff itself does not cause hair loss. It can cause itchiness, leading to scratching and severe dandruff. However, severe dandruff can cause constant and aggressive scratching of the scalp so that they injure the hair follicles. Repeated inflammation in the hair follicles can further damage the hair roots, leading to hair loss.
Dandruff and hair loss have a complex correlation. Dandruff is a skin condition involving the scalp, while hair loss involves injury or inflammation of hair follicles causing thinning and hair fall. Hence there is no direct relationship between dandruff and hair loss. It is the constant and vicious scratching activated by dandruff is the real offender responsible for hair fall.
However, dandruff can increase hair loss in people with androgenic alopecia , a condition that causes male or female pattern baldness.
The exact origin of dandruff is unrevealed.
Dandruff is associated with increased oil production and secretion and increases normal skin yeast Malassezia furfur .
Mild dandruff is a very common condition in almost every individual with all normal activity.
Dandruff may be triggered or worsened by the following:
Dandruff may have a hereditary component, as it runs in few families.
Medical terminology refers to dandruff as seborrhea or seborrheic dermatitis. Dandruff can occur at any age, from infancy to the elderly. Dandruff during infancy is called a cradle cap and in a teenage called druff in short. It is common between 15 to 50 years of age. Almost everyone suffers from dandruff and hair loss at some point in their lives.
Dandruff affects any hair-bearing area, even with very small hair follicles; thereby it not only affects the scalp, but also the ears, eyebrows, sides of the nose, beard, and the central part of the chest.
Most of them do not have any scalp symptoms but complain of white flakes on their shoulders, particularly noticeable on dark clothes. In severe cases of dandruff may cause intense itching, burning, and non-stop scratching.
Other possible conditions that may have similar signs and symptoms are psoriasis, rosacea, Atopic or contact or allergic or photodermatitis, dry skin, lupus, and fungal infection of scalp and hair.
Dandruff is usually harmless; it is not exactly a disease but more of a physiological event. Moreover, dandruff in a complex situation may lead to acne and other related medical conditions.
The mainstay of treatment is shampoo the scalp. Use of medicated shampoo containing ketoconazole, salicylic, tar, zinc pyrithione or selenium sulfide at least twice a week keep your scalp free from dandruff. All the seborrhoeic or affected areas including the scalp, ears, face, and chest should also be washed with the therapeutic shampoo. However, few home remedies along with shampoo can achieve the best results.
Dandruff involving eyelid has to be treated with gentle or baby shampoo; using a cotton tip applicator to clean the eyelash margin and avoiding shampoo getting directly into the eyes.
in resistant and troublesome cases of dandruff oral medication such as ketoconazole can be given.