Scalp Itching (Pruritus Capitis): Or something else? Differential Diagnosis

Skin and subcutaneous (L00-L99).

  • Allergic contact dermatitis (allergic eczema).
  • Impetigo (pustule)
  • Lichen simplex (synonyms: Neurodermatitis cirumscripta, lichen chronicus vidal or Vidal disease) – localized, chronic inflammatory, plaque and lichinoid (nodular) skin disease that occurs in episodes and is accompanied by severe pruritus (itching).
  • Pityriasis amiantacea (synonyms: Tinea amiantacea; asbestos lichen) – extensive, silvery scaling of the scalp; there are smooth transitions to the seborrheic scalp eczema
  • Psoriasis (psoriasis)
  • Seborrheic eczema (seborrheic dermatitis)

Infectious and parasitic diseases (A00-B99).

  • Fleas
  • Head lice infestation (pediculosis capitis)
  • Dermatomycosis (fungal infection of the skin), unspecified (eg, tinea capitis).
  • Scabies (scabies)
  • Viral infection, unspecified
  • Varicella (chickenpox)

Psyche – nervous system (F00-F99; G00-G99)

  • Depression

Further

  • Dehydration of the scalp (exsiccation eczema: in addition to a dry skin, one finds scaly, often cracked eczema foci).
  • Frequent hair washing, hair dye, hair gel and hair spray.
  • Washing and care product intolerance
  • Stress