Differential Diagnosis for Scalp Rash
Single Most Likely Diagnosis
- Seborrheic Dermatitis: This is often the most common cause of scalp rash, characterized by a red, itchy, and flaky scalp. It's justified as the single most likely diagnosis due to its high prevalence and the typical presentation of symptoms.
Other Likely Diagnoses
- Psoriasis: An autoimmune condition that can cause red, scaly patches on the scalp. It's a likely diagnosis due to its frequency and the presence of similar symptoms in other parts of the body.
- Eczema (Atopic Dermatitis): Can cause itchy, inflamed skin on the scalp. It's considered likely due to its commonality, especially in individuals with a history of allergies or asthma.
- Dandruff: A mild form of seborrheic dermatitis, characterized by flakes of dead skin on the scalp. It's a common condition and thus a likely diagnosis for a scalp rash.
- Contact Dermatitis: An allergic reaction or irritation caused by hair care products or other substances coming into contact with the scalp. It's a plausible diagnosis given the widespread use of various hair products.
Do Not Miss Diagnoses
- Tinea Capitis (Ringworm of the Scalp): A fungal infection that can cause patches of hair loss, redness, and scaling. It's crucial not to miss this diagnosis due to its potential to cause permanent hair loss if not treated promptly.
- Scalp Cellulitis: A bacterial infection of the skin and soft tissues of the scalp, which can be serious and requires immediate antibiotic treatment. Missing this diagnosis could lead to severe complications.
- Lichen Planus: An inflammatory condition that can affect the skin and mucous membranes, including the scalp, leading to hair loss and scarring. It's important to diagnose to prevent long-term damage.
Rare Diagnoses
- Alopecia Areata: An autoimmune condition that causes patchy hair loss, which can sometimes be accompanied by a rash. It's less common but should be considered, especially if there are distinct patches of hair loss.
- Discoid Lupus Erythematosus: A chronic skin condition characterized by inflammation and scarring, which can affect the scalp. It's rare but important to diagnose due to its potential for scarring and association with systemic lupus erythematosus.
- Kerion: A severe form of tinea capitis that can cause a painful, swollen mass on the scalp. It's rare but critical to identify and treat to prevent long-term hair loss and other complications.