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Itchy Scalp With Hair Falling Out

author image Kay Miranda
In 2001, Kay Miranda had her second screenplay purchased, then started writing a weekly column in "The Messenger," with work appearing in "Xquisite" and "Valley Scene Magazine." Miranda earned a Bachelor of Arts in bio-psychology from the University of Colorado. Fortunate to play collegiate tennis, Miranda has extensive travel and coaching experience.
Itchy Scalp With Hair Falling Out
Severe scalp psoriasis may lead to extreme itching and hair loss. Photo Credit Christine Langer-Püschel/iStockphoto/Getty Images

An itchy scalp accompanied with hair loss is indicative of a severe dermatological condition such as scalp psoriasis or seborrheic dermatitis. Large flakes, patches of hair loss and constant itching often adversely affects a person's daily social interactions. Solving the problem requires properly diagnosing and treating the underlying cause. In many instances, hair will grow back once the underlying condition is resolved according to PsoriasisNet.


Skin conditions such as psoriasis and dermatitis are at the root of an itchy scalp for many patients but the condition itself is not the cause of hair loss. Hair loss is the result of patient reactions and treatments to the itchy skin and flaking. Scratching the scalp to remove flakes or excessive scratching can lead to hair loss. Additionally, shampoo and skin treatments for the conditions may be too harsh to hair strands and follicles. Another cause of the hair loss is the stress associated with the condition. A person may become overwhelmed in dealing with the condition when at work, school or other social settings leading to hair entering a resting phase and shedding at once at the end of the phase.

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Consult a dermatologist for a proper diagnosis and treatment plan. Medicated shampoos may help the skin condition but be aware that using a medicated shampoo daily can be harsh on the hair. If you notice that the medicated shampoo treatment is helping the itchy scalp but you are still losing hair, alternate between medicated and normal shampoos.

Personal Hygeine Considerations

Certain personal hygiene habits can help reduce the effects of the skin conditions leading to an itchy scalp and hair loss. Use a comb or brush to loosen scales without scratching or pulling at them. Make sure prescribed medications and treatments get to the skin and don't just sit in the hair. Keep nails short to prevent accidentally causing a skin lesion when scratching. Blow-drying hair adds to the dryness of the scalp. Give your scalp a break by allowing it to air dry.


Some suffering from skin conditions such as seborrheic dermatitis may have a genetic predisposition to the condition. Head injury, stroke and Parkinson's disease may also be associated with dermatitis according to Medline Plus. Paying special attention to skin and hair care helps identify the problem and treat it earlier. Shampoo and comb hair regularly.


If your skin condition does not improve within a week of treatment, consult your dermatologist immediately for re-evaluation. Distress and self-esteem issues are reported by those suffering from itchy, flakey scalps with hair loss according to Medline Plus so it is important to treat the problem before it becomes a major social impairment. Bacteria and fungal infections can also result from excessive scratching and lesions. Look for signs of infection such as pus, yellow crusting or painful red blotches.

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