Video transcription

Hi, I'm Dr. Raphael Darvish with Skinpeccable Dermatology and Cosmetic Laser Center here in Los Angeles, California. I'm here today to discuss with you how to treat eczema on the scalp. Eczema on the scalp is an annoying condition in which people get a irritated, red, itchy rash on the scalp that causes dandruff. This is not to confused as seborrheic dermatitis which is probably the most common cause of irritated scalp that causes dandruff. But, there are some good treatments for eczema on the scalp. Firstly, prevention. Prevent, stay away from anything that causes the eczema to get worse. So, a particular shampoo with a particular fragrance is triggering the eczema to get worse, so stay away from that. Two, there are some very good steroid shampoos that you can use for short course to calm the eczema down. So, something like cobalt shampoo, something that I prescribe here in the office for somebody with a flare up of eczema on the scalp. Those cannot be used over the long term; so, the other, the option for a, a more long term shampoo is going to be a coal-based, sulfur-based or salicylic acid-based shampoo to keep the eczema in checked so that you don't need the steroid shampoo periodically. You can also use some topical steroid creams; probably the class two or class three ones if you're going to use them over the long term or class one steroid which is the most potent of steroid creams to make that scalp eczema better. Creams obviously on the scalp are going to be difficult, so that's why shampoo is generally the first line therapy. But, if you can work the cream into the scalp, that could be helpful. And then lastly, there are some oral medicine if the topical options don't work for you and those oral medicines includes some Prednisone and more aggressive options such as Methotrexate and Cyclosporine really reserve for the most difficult eczema cases. I'm Dr. Raphael Darvish and that was a brief overview on how to treat eczema of the scalp.