NIC Cosmetology Written (Theory) ExamHair Care and ServicesEasy

A client complains of an itchy scalp, visible flakes, and redness. During the scalp analysis, the cosmetologist observes small, yellowish scales that appear to be oily and adhere to the scalp. What scalp condition is most likely present?

  1. APityriasis capitis simplex
  2. BScabies
  3. CPityriasis steatoides
  4. DTinea capitis
Show answer & explanation

Correct answer: C. Pityriasis steatoides

Pityriasis steatoides is characterized by greasy or waxy scales that are oily and adhere to the scalp, often accompanied by itching and redness. Tinea capitis is a fungal infection, pityriasis capitis simplex is dry dandruff, and scabies is caused by mites.

Why the other options are wrong

  • A. Pityriasis capitis simplex is classic dry dandruff with white, light, and non-adherent scales.
  • B. Scabies is a parasitic infestation causing intense itching and burrows, not primarily scales.
  • D. Tinea capitis is a fungal infection of the scalp, presenting with red papules or spots, not typically oily scales.

Pityriasis Steatoides

A severe form of dandruff characterized by greasy or waxy scales that are oily and adhere to the scalp, often accompanied by itching and redness.

  • Greasy/waxy scales
  • Adhere to scalp
  • Often accompanied by itching and redness

Memory trick: Greasy scales mean 'Steatoides' is the one to choose.

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