Table of ContentsView AllTable of ContentsSkin ConditionsHead LiceNeuropathic ItchingInfectionsCystInjuryOther Medical ConditionsPreventionSelf CareWhen to Seek Care
Table of ContentsView All
View All
Table of Contents
Skin Conditions
Head Lice
Neuropathic Itching
Infections
Cyst
Injury
Other Medical Conditions
Prevention
Self Care
When to Seek Care
However, scabs can also be due to a condition that can only be cleared up with medical attention. Some are chronic, meaning they can cause a recurring scab on the scalp in the same spot—sometimes even with treatment.
And, of course, any scab can stick around if scratched and picked at.
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1. Contact Dermatitis
The rash can be anywhere on your body, including the scalp. The rash itself doesn’t involve scabs, but scratching can lead to them, as well as open sores.
Many products contain fragrances and other ingredients that can cause contact dermatitis. Those used on the scalp include:
The rash can persist or, if resolved, come back if your skin is still in contact with whatever the offending substance is.
Treatment
Home remedies may relieve a contact dermatitis rash. Common ones include:
If home remedies don’t help, your doctor may prescribe:
2. Psoriasis
Psoriasisis a chronic inflammatory skin condition in which an immune system attack causes skin cells to reproduce too quickly. Then they “pile up” and form thick, crusty patches (plaques) of gray or silver scabs on the skin.
Psoriasis plaques are most often on the elbows, knees, trunk, and scalp. Flare-ups tend to be in the same or similar spots.
Scalp psoriasismay also look like dandruff.
Psoriasis treatmentdepends on the severity. For mild cases, a medicated shampoo can ease itching and reduce skin overgrowth.
OTC medicated shampoos withsalicylic acidhelp remove excess skin. Those containing coal tar can relieve inflammation and slow skin-cell growth.
For more severe cases, or if OTC treatments don’t work, your healthcare provider may prescribepsoriasis creams, medications, or other treatments.
Other ways to treat scalp psoriasis include:
3. Acne
If hair products are the cause of scabs on the scalp, you may notice whiteheads or flesh-colored bumps called papules.
If you’re using a hair product that contains oil, stop using it to see if that’s what is causing your acne. Look for products that say “oil-free,” “non-comedogenic,” “non-acnegenic,” or “won’t clog pores.”
Wash pillowcases, hats, and other things that have come into contact with your head, in case they have residue from hair products.
4. Dermatitis Herpetiformis
Dermatitis herpetiformisis a chronic skin condition. It occurs in people withgluten sensitivityorceliac disease.
Intensely itchy clusters of blisters and red bumps appear on the skin and along the hairline. The first symptom may be a burning sensation.Then it scabs over and tends to heal within a week or two. Scratching it can also cause scalp scabs.
The bumps will likely occur in the same areas during every outbreak, so it’s possible that scabs may reoccur in the same spots.
Dermatitis herpetiformis is treated with a prescription antibiotic called dapsone. The drug provides almost immediate relief. However, it doesn’t cure it—it only relieves symptoms.
5. Seborrheic Dermatitis
Seborrheic dermatitisis a common and chronic skin condition with symptoms that come and go. It affects the sebaceous (oily) regions of the scalp.
It causes patches of greasy skin covered with itchy, crusty, powdery flakes. The flakes may be white or yellow. Scratching these spots can lead to scabs.
Seborrheic dermatitisis also called “cradle cap” in babies and “dandruff” in adults.
Home remedies may help control and eliminateseborrheic dermatitis. They includeOTC dandruff shampoossuch as:
You can also use mineral oil or olive oil on your scalp. Let it sit for one hour, then brush out your hair. That may help with dry, crusty patches.
If none of that works, your healthcare provider may prescribe medicated shampoos or ointments that reduce scalp inflammation.
If topical treatments don’t work, you may need an oral antifungal medication.
6. Eczema
Eczemausually appears on visible areas of skin. But sometimes it strikes less easy-to-see places like the top of your head.
Scalp eczema causes itchy, dry, red, and inflamed skin. You may also feel a burning sensation.
Scalp eczema itself doesn’t cause scabs. But scratching it can. Because eczema flares tend to happen in the same place, you may continue to have scabs in the same spots over and over.
There’s no cure for scalp eczema. However, treatments can help reduce symptoms. OTC shampoos may reduce itchiness and get rid of flaky, scaly skin.
Look for shampoos, ointments, creams, and sprays containing:
Apply to itchy and irritated spots on your scalp.
If your eczema is severe and OTC products don’t help, your provider may prescribe something stronger. Other options include:
Sunlight or light therapy (phototherapy) may help, too.
7. Eosinophilic Folliculitis
Eosinophilic folliculitisis a skin and scalp disorder. It causes recurring itchy, red, or skin-colored bumps and pustules (bumps containing pus). They eventually scab over.
The scalp scabs can spread. The condition isn’t contagious. It’s mostly found in people with late-stageHIV/AIDS.
Scratching the bumps can lead to scabbing and infection.
The treatment for eosinophilic folliculitis varies depending on the severity. Your prior responses to medications may be considered, as well.
Possible treatments include:
8. Lichen Planus
Lichen planusis a disease that causes bumps on the skin that are often shiny, firm, and purple. They often appear on the wrist, lower back, or ankles, but can develop anywhere—including the scalp. They might be painful and itchy, which can lead to scabs.
The skin disorder is most common in middle-aged adults, and it’s unclear what causes it. Researchers suspect that it may be an autoimmune disease, that it may be linked tohepatitis C, and that genes may play a role in who develops it.
Symptoms can come and go, which means that you may continue to have scabs on your scalp or other places.
Lichen planusoften goes away on its own within two years, and there’s no cure. However, treatment can reduce symptoms and speed up healing. Some treatment options include:
9. Head Lice
Head liceare wingless insects that live on your scalp. They feed on blood. You may feel them moving around on your scalp. Their bites can itch.
Scratching can cause wounds and scabs on your scalp. Head lice don’t carry disease, but scabs can get infected.
Head lice are highly contagious. Prompt treatment is important to keep them from spreading.
Treatments for liceinclude:
To kill the lice and their eggs, it’s important to:
10. Neuropathic Itching
Some people experience nerve-related itching on the scalp (neuropathic itch). There is no rash, just itchiness. Scratching leads to scabs.
The cause of neuropathic itching is unclear. It’s thought to be related to nerves in the skin. It can also be associated with the following types of conditions:
Neuropathic itching is often treated with systemic medications like Neurontin (gabapentin).
11. Impetigo
Impetigo is incredibly contagious and can spread if someone touches the sore or comes in contact with its fluid.
Most people won’t have a second bout of impetigo, so the scabs are unlikely to reoccur. It’s important to contact a healthcare provider if you suspect you have the condition again.
Antibiotics can cure impetigo. Your healthcare provider may recommend a topical cream if there are few sores in one area.
If there are many in one area or they’ve developed on multiple body parts, oral antibiotics will likely be prescribed.
12. Scalp Ringworm
A fungal infection, scalp ringworm may start off as small bumps on the scalp that itch. Scratching them can cause a scab.
It’s rare for adults to get scalp ringworm, but it happens.
This condition can only be successfully treated with antibiotics, which should be taken orally for one to three months.
The infection can come back if it isn’t fully cleared with medication.
13. Cyst
A bump on your scalp may be apilar cyst, a relatively common type of cyst that grows out of hair follicles and can also develop on your legs, arms, neck, and face. Most of these smooth bumps are painless and benign. However, if they become infected, they may bleed and scab.
Scientists don’t know for sure why some people get pilar cysts while others don’t, but they believe that genes play a role.
14. Injury
If you have a minor scalp wound, wash it with soap and water. You can also use a gauze pad or other sterile cloth to help stop any bleeding.
Most minor wounds don’t need antibiotics unless they have signs of infection. These include pus, yellow or golden crusts, swelling, or warmth.If your cut is infected, your healthcare provider will prescribe an antibiotic, such as mupirocin.
15. Shingles
It causes a painful rash with blisters that open and scab over. Shingles may also cause:
The shingles rash is most often on the face and body, but blisters can also form on the scalp. That can make it painful to brush your hair.
In rare instances, you can have more than one shingles infection, but it likely won’t come back in the same spot.
Medication can reduce symptoms and make the outbreak shorter.
Drugs prescribed for shingles include:
16. Lupus
One type of lupus,discoid lupus erythematosus, mainly affects your skin. This autoimmune disease can lead to scaly patches on your scalp as well as other areas such as your face and neck.
Your healthcare provider will help you determine the best treatment for discoid lupus. Some options may include topical corticosteroids or corticosteroid injections.
Systemic therapy may be used for widespread lesions. This can include antimalarial drugs such as hydroxychloroquine and chloroquine.
17. Skin Cancer
Skin cancer may cause scabs on the scalp that don’t go away. They can especially form in areas that are exposed to the sun, including parts in your hair.
Contact your healthcare provider if you notice any of these signs of skin cancer on your scalp:
See your healthcare provider for any new or changing spots that persist longer than a few weeks. Treatment for skin cancer will vary depending on the type of cancer and the stage. Some of the treatment options include:
Preventing scabs on the scalp depends on the condition that causes it. Some general tips include the following:
Self-Care for Scalp Scabs
Most minor scabs will heal on their own. Depending on their size and cause, they usually fall off within a few days to two weeks if allowed to heal.
Some popular self-treatment products include:
How to Avoid Picking Them
It’s important to leave scabs alone. Scabs form on the skin and scalp as part of a healing process. They protect new skin as it grows in over damaged areas.
When you pick at scabs, you can expose the delicate skin underneath to infection. It can also cause scarring or cause the area to bleed again, prompting another scab to form.
To keep yourself from picking at a scab, try these tips:
If the scab is itchy, check with your healthcare provider for topical treatments that can help.
When to See a Healthcare Provider
Check with your healthcare if your scab persists longer than a few weeks or if it goes away and then returns. Also contact them if you have any signs of infection. These include:
Summary
Any rash or sores on your scalp may scab over. They may become infected, too. That’s especially likely if you give in to the urge to scratch.
If you’re unsure what’s causing sores or scabs on your scalp, see a healthcare provider. Many OTC products may help. But it’s important to know what you’re treating first.
If OTC treatments don’t help, you may be able to get prescription topicals or oral medications that clear up the problem. Home remedies may help with symptoms.
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