What is the diagnosis for a white dry papule on the scalp?

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Differential Diagnosis for White Dry Papule on Top of Head

  • Single Most Likely Diagnosis
    • Seborrheic keratosis: A common, benign skin growth that can appear as a white, dry papule, especially in older adults. It's often found on the scalp, face, and neck.
  • Other Likely Diagnoses
    • Actinic keratosis: A precursor to skin cancer that can present as a dry, scaly patch or papule, often on sun-exposed areas like the scalp.
    • Eczema (atopic dermatitis): Can cause dry, scaly patches on the scalp, including the top of the head, especially in individuals with a history of allergies or asthma.
    • Psoriasis: An autoimmune condition that can lead to dry, scaly patches on the scalp, including the top of the head, often accompanied by other symptoms like redness and itching.
  • Do Not Miss Diagnoses
    • Basal cell carcinoma: The most common form of skin cancer, which can sometimes present as a pale, dry patch or papule, especially in sun-exposed areas.
    • Squamous cell carcinoma: Another form of skin cancer that can appear as a firm, dry patch or papule, often on sun-exposed areas like the scalp.
  • Rare Diagnoses
    • Keratoacanthoma: A rare, benign skin tumor that can resemble a small, dry volcano-like papule, often on sun-exposed areas.
    • Cutaneous lymphoma: A rare type of cancer that affects the skin and can cause a variety of skin lesions, including dry papules on the scalp.

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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