Dear Doctor: I have dandruff which I have treated using ketoconazole shampoo and vitamins, only for it to return. What can I do?
Dear Jascinta: Dandruff is a common chronic scalp condition, which leads to dry onion peel-like flakes, mostly seen on a person’s shoulders after combing hair. Although dandruff is not contagious, it can be embarrassing and difficult to treat in some people.
The body usually sheds old skin without notice, however, people who suffer from dandruff shed too much skin rapidly, because of scalp infection with a fungus (malassezia globosa), whose enzyme breakdown of scalp oils produces an acid that triggers excessive cell shedding.
This fungus can be killed by the drugs you used, but will come back because you may not have addressed the cause of the fungal invasion or other associated problems.
People with dry irritated oily skin, other skin conditions such as eczema or psoriasis and sensitivity to hair care products are prone to developing dandruff. Using too many styling products may also irritate the scalp and cause dandruff.
Poor diet in zinc, vitamins or imbalance of certain types of fats such as sunflower and fish oils, stress, illnesses such as HIV, or neurological problems such as Parkinson’s disease and those who have suffered from stroke can also be a risk factor.
Therefore, these factors should be addressed before a person recovers completely. Treating dandruff requires patience and persistence, but generally, daily use of anti-fungal shampoo, apart from killing the fungus will reduce oiliness and skin cell build-up. When these fail, visit a skin doctor.
SOURCE: Daily Monitor