Scalp itch : history taking and common differentials

Scalp pruritus, commonly known as an itchy scalp, is a frequent and often distressing symptom encountered in primary care and dermatology practices. It can arise from a variety of conditions ranging from common and benign to more serious disorders that may require specialized treatment. While conditions like seborrheic dermatitis and psoriasis are often implicated, scalp pruritus can also be a manifestation of underlying systemic diseases, infections, or infestations such as head lice.

The complexity of its causes demands a thorough clinical evaluation to guide effective management. Treatment strategies are multifaceted, aiming to alleviate discomfort, address the root cause, and prevent recurrence. The condition not only impacts physical health but can also significantly affect a person’s quality of life and psychological well-being.

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