What causes scalp burning sensation?

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Last updated: May 29, 2025View editorial policy

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Differential Diagnosis for Burning of Scalp

  • Single most likely diagnosis
    • Seborrheic dermatitis: This condition is a common cause of scalp burning, characterized by inflammation, redness, and flaking of the skin. It is often associated with an itchy and burning sensation.
  • Other Likely diagnoses
    • Contact dermatitis: This is an allergic or irritant reaction to a substance that comes into contact with the scalp, such as hair dyes, shampoos, or other hair care products, leading to burning and inflammation.
    • Psoriasis: A chronic skin condition that can cause red, scaly patches on the scalp, leading to burning and itching sensations.
    • Dandruff: A condition characterized by flakes of dead skin on the scalp, which can cause itching, burning, and redness.
  • Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
    • Meningitis: Although rare, meningitis can cause severe headache, fever, and burning sensation on the scalp, and is a medical emergency that requires prompt treatment.
    • Temporal arteritis: An inflammation of the blood vessels in the temples, which can cause burning or tender scalp, and if left untreated, can lead to blindness or stroke.
    • Lupus: A chronic autoimmune disease that can cause a range of symptoms, including scalp burning, and if left untreated, can lead to serious complications.
  • Rare diagnoses
    • Pityriasis amiantacea: A rare condition characterized by thick, yellow scales on the scalp, which can cause burning and itching sensations.
    • Lichen planopilaris: A rare inflammatory condition that can cause burning, itching, and scarring on the scalp.
    • Trichodynia: A rare condition characterized by burning or itching sensations on the scalp, often associated with hair loss or other scalp conditions.

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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