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The main symptoms of dandruff are an itchy scalp and flakiness. [9] Red and greasy patches of skin and a tingly feeling on the skin are also symptoms. [10] Dandruff and dry scalp are often confused since they share many of the same symptoms, but their causes and treatment are different. [11]
Unlike other fungal skin infections that may be treated with topical therapies like creams applied directly to the affected area, griseofulvin must be taken orally to be effective; this allows the drug to penetrate the hair shaft where the fungus lives. The effective therapy rate of this treatment is generally high, in the range of 88–100%. [12]
Mild seborrhoeic dermatitis of the scalp may be described in lay terms as dandruff due to the dry, flaky character of the skin. [6] However, as dandruff may refer to any dryness or scaling of the scalp, not all dandruff is seborrhoeic dermatitis. [6] Seborrhoeic dermatitis is sometimes inaccurately referred to as seborrhoea. [4]
Although they show the same symptoms, they have very different treatment plans.
“Acne vulgaris is much more common than pityrosporum folliculitis, [which means] dandruff shampoo is unlikely to be an effective treatment for most patients,” says Dr. Camp.
1 in 5 people struggle with a flaky scalp, but that doesn't mean you should put up with it.
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