#182 Scalp, Hair Disorders and Doctor's Wellbeing with Dr Ahmed Kazmi
Jan 11, 2024
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Dr Ahmed Kazmi, UK trained Dermatologist and GP, discusses scalp and hair disorders including seborrheoic dermatitis, dandruff, psoriasis, atopic dermatitis, and scalp care. He also emphasizes the importance of doctor's well-being and offers insights on treating different hair types and skin tones. The podcast delves into natural remedies for hair issues, skin sensitization, and immune response triggers, providing recommendations for hair care products and treatments.
Accurate diagnosis of scalp conditions requires thorough history-taking and examination.
Tailor treatment plans for scalp conditions to patient's hair care regimen and concerns.
Clarify the differences between dandruff and seborrheic dermatitis for effective management.
Engage patients in the diagnostic process and promote long-term control through yeast management and lifestyle adjustments.
Deep dives
Diagnostic Algorithm for Scalp Conditions
When differentiating between scalp conditions like seborrheic dermatitis, atopic dermatitis, and psoriasis, ensure diagnostic certainty through history-taking and examination. Seborrheic dermatitis typically presents with a non-adherent, yellowish or oily type of scale, whereas psoriasis has more adherent, silvery, and white scales with sharper demarcations. Atopic dermatitis is often intensely itchy, with a tendency to affect other body areas and may have a family history of atopy. Look for subtle nail changes in psoriasis patients and genital involvement, often not initially disclosed.
Management of Seborrheic Dermatitis and Dandruff
In managing seborrheic dermatitis and dandruff, focus on three key aspects: reducing yeast burden, decreasing inflammation, and preventing relapse. Tailor the treatment plan to the patient's hair care regimen and concerns. Consider lifestyle factors and the risk of misdiagnosis as additional points to discuss or address over subsequent consultations. Educate patients on the condition and its common manifestations, emphasizing the need for a multifaceted approach to treatment.
Differentiation between Dandruff and Seborrheic Dermatitis
Dandruff is a non-inflammatory form of seborrheic dermatitis, primarily characterized by flaking and scaling without the associated redness or itchiness commonly seen in seborrheic dermatitis. Understanding the distinction between these two conditions is critical for effective diagnosis and management. Dandruff may be oily or yellowish in appearance, while seborrheic dermatitis often presents with scales that are easily separable and larger in size.
Education and Communication with Patients
Engage patients in the diagnostic and treatment process by explaining the nature of their scalp condition and involving them in the decision-making. Gather details on their symptoms, triggers, and concerns to tailor the management plan accordingly. Emphasize the significance of maintaining contact with yeast-related factors for long-term symptom control and explore lifestyle adjustments to optimize treatment outcomes. Foster open communication to address any misconceptions and ensure a patient-centered approach to care.
Understanding Seborrheic Dermatitis and Psoriasis Treatment
Seborrheic dermatitis, a condition caused by yeast overgrowth, can be effectively managed by decreasing yeast burden. Using anti-dandruff shampoos with different active ingredients on an alternating basis can help. Patients should also rotate with non-anti-dandruff shampoos to avoid dryness. Proper shampoo use and maintenance routines can alleviate symptoms.
Managing Inflammation and Sensitization in Dermatosis
Reducing inflammation in skin conditions like seborrheic dermatitis involves avoiding topical steroids as sole treatment, as they can exacerbate yeast growth. Lifestyle factors such as stress, sleep quality, diet, and sensitization to chemicals can impact skin health. Non-steroidal anti-inflammatory alternatives may be recommended, particularly for patients averse to steroids.
Prevention and Long-term Management of Chronic Skin Conditions
Chronic skin conditions like seborrheic dermatitis require long-term management strategies to prevent relapses. Lifestyle modifications, such as washing frequency and avoiding triggers like hats or gym activities, play a significant role. Regular use of prescribed shampoos, proper application of medications, and consistent moisturizing routines are crucial for long-term relief.
Dr Ahmed Kazmi is a UK trained Dermatologist and GP currently based in Melbourne, Australia. He loves all dermatology but has a special interest in hair and scalp disorders, transgender medicine and skin of colour dermatology. He is a keen medical educationalist and enjoys empowering his GP colleagues with dermatology knowledge and skills. He is a clinical senior lecturer at the University of UWA. He is passionate about doctor wellbeing and also often speaks on this topic. When he isn't consulting he moonlights as a professional cabaret artist and comedian.
0-26.05 mins = Introduction and doctor's wellbeing
26.05 mins to end = Scalp and hair disorders (seborrheoic dermatitis, dandruff, psoriasis, atopic dermatitis, scalp and hair care)
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