What are the causes of papules or nodules on the scalp?

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Differential Diagnosis for Bumps on Scalp

  • Single most likely diagnosis
    • Seborrheic dermatitis: This is a common condition that causes scaly, itchy bumps on the scalp, often associated with dandruff and oily skin.
  • Other Likely diagnoses
    • Psoriasis: An autoimmune condition that can cause red, scaly bumps on the scalp, often accompanied by itching and flaking.
    • Folliculitis: An inflammation of the hair follicles, usually caused by bacterial or fungal infections, leading to bumps, redness, and itching on the scalp.
    • Eczema (atopic dermatitis): A chronic skin condition that can cause itchy, inflamed bumps on the scalp, especially in individuals with a history of allergies or asthma.
    • Ingrown hairs: A condition where hair grows back into the skin, causing bumps, redness, and inflammation, often seen in individuals with curly or tightly coiled hair.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Meningioma: A rare type of brain tumor that can cause bumps or lumps on the scalp, often accompanied by neurological symptoms such as headaches, seizures, or vision changes.
    • Squamous cell carcinoma: A type of skin cancer that can cause bumps or sores on the scalp, especially in individuals with a history of sun exposure or immunosuppression.
    • Lymphoma: A type of blood cancer that can cause bumps or lumps on the scalp, often accompanied by systemic symptoms such as fever, weight loss, or fatigue.
  • Rare diagnoses
    • Kerion: A rare fungal infection that causes a large, painful bump on the scalp, often accompanied by fever, swelling, and lymphadenopathy.
    • Trichoepithelioma: A rare benign tumor that causes small, flesh-colored bumps on the scalp, often seen in individuals with a family history of the condition.
    • Cylindroma: A rare type of skin adnexal tumor that causes small, firm bumps on the scalp, often seen in individuals with a family history of the condition.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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