Differential Diagnosis for Dry and Itchy Scalp
Single Most Likely Diagnosis
- Seborrheic Dermatitis: This condition is characterized by a dry, itchy scalp and can be exacerbated by environmental changes, such as moving to a new location with different climate conditions. The relief found with antihistamines and coal tar shampoo supports this diagnosis, as these treatments are commonly used for seborrheic dermatitis.
Other Likely Diagnoses
- Atopic Dermatitis: Given the response to antihistamines, atopic dermatitis (eczema) is a possible diagnosis. It's an allergic condition that can cause dryness and itchiness on the scalp.
- Psoriasis: Although less likely without other characteristic symptoms like thick, scaly plaques, psoriasis can cause an itchy scalp. Coal tar shampoo, which was beneficial, is sometimes used in treating psoriasis.
- Contact Dermatitis: An allergic reaction to a new hair product or environmental factor in Calgary could cause an itchy scalp. The improvement with antihistamines and a specific shampoo could indicate a reaction to something that was avoided or replaced.
Do Not Miss Diagnoses
- Tinea Capitis (Ringworm of the Scalp): Although less common, fungal infections like tinea capitis can cause itchy scalps. It's crucial to diagnose and treat this condition to prevent spread and potential complications.
- Scalp Lymphoma or Other Malignancies: While rare, any persistent or worsening scalp condition should prompt consideration of malignancies. Early detection is critical for effective treatment.
Rare Diagnoses
- Pityriasis Amiantacea: A rare condition characterized by a thick, scaly, and itchy scalp. It's often associated with psoriasis or seborrheic dermatitis.
- Keratosis Pilaris: Although more commonly found on arms and legs, keratosis pilaris can occasionally affect the scalp, causing dryness and itchiness.