Intended for healthcare professionals

Headaches in the management of itchy scalps

When patients complain of scalp problems I find that there are two major variable factors: the severity of the problem as perceived by us both and the ability I have to diagnose it. Individuals seem remarkably variable in their tolerance of the itching and scaliness of scalps. Some seem greatly distressed by a few microscopic spots, while others apologise for troubling me when their head is a total cosmetic disaster. My heart tends to sink with either end of the spectrum!
Dermatology in practice 2000; 8(2): 28–29
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