8/11/2019 Desordenes Del Cuero Cabelludo

http://slidepdf.com/reader/full/desordenes-del-cuero-cabelludo 1/2

 VO L U M E 1 0

 N U M B E R 1 1

SCALP DISORDERS AND

 THEIR TREATMENT 

Seborrheic Dermatitis andDandruff Seborrheic dermatitis   is acute or chronic papulo-

squamous dermatitis presenting with dry scales andunderlying erythema; in come cases, pruritus is pres-ent. Dandruff is when there is mild scaling withoutany erythema; it can happen if the scalp is oily ordry. It may be the result of several factors, includinghormonal imbalance, impaired metabolic nutrition,diet, tension, increased bacteria and fungi activity,biochemical changes in the scalp, topical medica-tions, and cosmetics. Seborrheic dermatitis is whenthere is general erythema without tight, thick, sil- very scales. Psoriasis is evidenced by the presenceof well-demarcated red plaques. The scaling of thescalp resulting from tinea capitis may appear to bedandruff or seborrheic dermatitis but alopecia (hairloss) is usually present in tinea capitis.

Compounded Treatments: Routine treatmentfor seborrhea of the scalp involves a shampoo thatmay contain tar, zinc pyrithione, or  selenium, useddaily if reasonable. A ketoconazole 1% or 2% sham-poo can be used twice weekly. Solutions or lotionsof topical corticosteroids can be used twice daily, ifneeded.

INTRODUCTION Scalp disorders may be painful, annoying, and un-sightly. Our society has placed a major emphasis onappearance. Because of this emphasis, many scalpdisorders cause undue stress and embarrassment.Some scalp problems can be easily treated, but many

of them require treatment for many months or even years. Compounding pharmacists can significantlycontribute to successful therapy in compounding forscalp disorders. The scalp consists of many parts andproduces several substances, which includes but isnot limited to: skin, sweat-glands, sebaceous glands,hair shafts, hair. When these are not functioningproperly and are not in harmony with one another, various scalp disorders can occur.

SCALP DISORDERS AND THEIR TREATMENT 

Loyd V. Allen, Jr., PhD, RPh International Journal of Pharmaceutical Compounding Edmond, Oklahoma

GENERAL APPLICATIONSFOR PRURITUS OF THESCALP

Rx  Hydrocortisone 1% and

Menthol 0.25% AntipruriticScalp Lotion

  Note: This is a water miscible vehicle that iseasy to wash off.

FORMULATIONS FORSEBORRHEIC DERMATITIS AND DANDRUFF 

Rx  Selenium Sulfide 1% Shampoo  Note: Patients can select their shampoo of

choice.

Rx  Zinc Pyrithione 1% Shampoo  Note: Patients can select their shampoo of

choice.

Rx Triamcinolone 0.1% ScalpLotion

  Note: This is an in-water miscible vehicle thatis easy to wash off.

Rx  Anti-Seborrhea Clear Lotion  Note: This is an in-water miscible vehicle that

is easy to wash off.

Rx

  Sulfur 1% Shampoo  Note: This is an in-water miscible vehicle that

rinses out easily.

Rx  Phenol, Glycerin, and MineralOil Shake Lotion

  Note: This is a mineral oil vehicle.

8/11/2019 Desordenes Del Cuero Cabelludo

http://slidepdf.com/reader/full/desordenes-del-cuero-cabelludo 2/2