NIC Barber Written (Theory) ExamHair Care ServicesMedium
A client presents with a scalp condition characterized by an overproduction of sebum, leading to oily, greasy hair and scalp, often accompanied by itching and flaking. The barber observes large, yellowish, oily flakes adhering to the scalp. Which of the following conditions is most consistent with these observations?
- ATinea capitis
- BScabies
- CPityriasis capitis simplex
- DPityriasis steatoides
Show answer & explanationAnswer & explanation
Correct answer: D. Pityriasis steatoides
Pityriasis steatoides is a severe form of dandruff characterized by greasy or waxy scales, which often appear as yellowish, oily flakes adhering to the scalp and hair, accompanied by itching. The description perfectly matches this condition.
Why the other options are wrong
- A. Tinea capitis is a fungal infection of the scalp, presenting with red papules, scales, and hair breakage, not typically oily flakes.
- B. Scabies is caused by mites burrowing into the skin, leading to intense itching and rash, but not typically oily scalp flakes.
- C. Pityriasis capitis simplex is dry dandruff, characterized by white, flaky scales that shed easily, not oily or greasy.
Pityriasis Steatoides
A severe form of dandruff characterized by greasy or waxy scales mixed with sebum that adhere to the scalp and hair, often accompanied by itching.
- Oily, greasy flakes
- Adheres to scalp and hair
- Accompanied by itching and inflammation
Memory trick: Greasy Steven's scalp is sticky, not just simple flakes.