Dandruff
Also known as: Seborrhea of the scalp, Flaky scalp, Pityriasis capitis
Dandruff is a common, non-contagious scalp condition that causes flaking of the skin and, often, itching. It is a mild form of seborrheic dermatitis and is linked to an overgrowth of a normally present yeast (Malassezia), excess oil, and individual sensitivity. While harmless, dandruff can be persistent and embarrassing. It is usually well controlled with medicated shampoos and good scalp care.
Symptoms
Causes
- Overgrowth of Malassezia yeast on the scalp
- Excess oil (sebum) production
- Individual sensitivity to yeast byproducts
- Dry skin
- Infrequent or irritating hair washing
Risk Factors
- Oily scalp and hair
- Age (most common from adolescence through middle age)
- Male sex
- Stress
- Certain neurological conditions (e.g., Parkinson's) and weakened immunity
Diagnosis
- Visual examination of the scalp and flakes
- Distinguishing dandruff from dry scalp, psoriasis, or eczema
- Rarely, skin evaluation if the diagnosis is unclear
Treatment
- Medicated shampoos with zinc pyrithione, ketoconazole, selenium sulfide, or coal tar
- Salicylic acid shampoos to reduce scaling
- Regular, thorough washing to reduce oil and yeast
- Leaving medicated shampoo on the scalp for several minutes before rinsing
- Rotating shampoo types if one stops working
Prevention
- Wash hair regularly with a gentle or medicated shampoo
- Manage stress
- Limit hair products that build up on the scalp
- Get a little sunlight (may reduce yeast growth), with skin protection
When to See a Doctor
- Dandruff doesn't improve with over-the-counter medicated shampoos
- The scalp is very red, swollen, or painful
- Flaking extends to the face, eyebrows, or chest (seborrheic dermatitis)
- You suspect psoriasis or another scalp condition
Frequently Asked Questions
Related Conditions
Related from the Supplement Library
Zinc
StrongMineral · Immune system support and T-cell function
Omega-3 (EPA/DHA)
StrongFatty Acid · Cardiovascular health (TG reduction, anti-arrhythmic)
Probiotics (Lactobacillus)
StrongProbiotic · Gut microbiome balance and diversity
Biotin
ModerateVitamin · Hair growth and strength support
These supplements have been studied in relation to Dandruff. Always consult your healthcare provider before starting any supplement, especially if you take medications.
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