Contact Dermatitis Scalp Treatment Options – Causes and Diagnosis

An overview of contact dermatitis scalp treatment options, including causes and diagnosis which provide an in-depth look into this skin condition.

It has been observed that some patients that are experiencing scalp contact dermatitis do not usually have skin breakouts on their scalp but rather have symptoms of itchiness and hair loss. And they typically have eczema-like lesions around their ears, hairline, and neck. Despite these differences, contact dermatitis  scalp treatment options are handled the same as in other parts of the body. Every skin condition reacts differently to the disease.

If you experience any of these on your scalp, then you might have the disease. it is important to seek medical attention. So what is it?

What is scalp contact dermatitis?

Contact dermatitis on scalp is a condition that can be caused by a variety of factors, including exposure to harsh chemicals, allergens, or irritants. When the skin on the scalp is exposed to one of these triggers, it can result in a rash, itching, and burning sensations.

Contact dermatitis is generally a skin condition that is caused by contact with an irritant or allergen. Irritants can include soaps, detergents, solvents, and other chemicals. Allergens can include pollen, dust, pet dander, and other environmental allergens.

Symptoms and Diagnosis

 Contact dermatitis can cause symptoms such as redness, swelling, itching, and blistering.

The diagnosis is typically a skin condition that is caused by exposure to an allergen or a chemical irritant. The symptoms can include redness, itching, blisters, and scaling of the scalp skin. In some cases, the affected area may also be swollen.  

While it is true that some cases can be resolved by making changes to your lifestyle or using over-the-counter products, there are times when this skin condition requires a clinical diagnosis. It may also be difficult to determine the source of the infection, as symptoms can be similar. In such instances, clinicians may use diagnoses to help determine the source of the infection.

But it is usually diagnosed based on a person’s symptoms and history of exposure to potential allergens or irritants. In some cases, a skin biopsy may be necessary to confirm the diagnosis.

There are a number of tests that can be used to diagnose the infection. One of the most common tests is a patch test. In a patch test, small patches of the allergen or irritant are applied to the skin, and the skin is monitored for a reaction. Other tests that may be used to diagnose it include a blood test, a skin biopsy, and a scratch test.

Types of scalp contact dermtitis and causes

There are two types of contact dermatitis that can occur on the scalp: irritant contact dermatitis and allergic contact dermatitis. Irritant contact dermatitis is caused by a reaction to a substance that directly irritates the skin, while allergic contact dermatitis is caused by a reaction to a substance that the person is allergic to.

General Contact dermatitis causes

This is a condition that results when the skin comes into contact with an allergen or irritant. This can cause a wide range of symptoms, including swelling, rash, itching, and pain. The condition is characterized by a rash, blistering, swelling,redness, itching, and burning sensations, and can be quite uncomfortable. In some cases, it can also lead to more serious complications, such as skin infections.

The condition can be caused by a variety of things, including cosmetics, fragrances, detergents, allergies, chemicals, metals, plants like poison ivy or oak, soaps, latex, and jewelry. In some cases, it may be the result of an allergic reaction to a medication.

It can look very similar to other forms of eczema, such as atopic dermatitis and seborrheic dermatitis. In some cases, it can also cause scabs and crusts. It can often be mistaken for other forms of eczema, such as atopic dermatitis or seborrheic dermatitis. However, it typically affects a specific area of the body, whereas other forms of eczema can occur anywhere on the body.

Types of contact dermatitis

There are several forms of contact dermatitis: allergic contact dermatitis, irritant contact dermatitis, photodermatitis Atopic dermatitis, and Phototoxic contact dermatitis. Some may look similar but they are all different as they all have diffent ways in which they get activated and become infectious

Irritant contact dermatitis

This is the most common type. It occurs when the skin is exposed to a chemical or physical agent that causes irritation. The most common irritants are detergents, solvents, acids, and alkalis.

Allergic contact dermatitis

It is the second most common type, and it occurs when the skin comes into contact with an allergen. The common allergens are metals (such as nickel and chromium), synthetic fabrics, and cosmetics.

Photodermatitis

It is a type of contact dermatitis that occurs after exposure to sunlight or artificial ultraviolet light.

Atopic dermatitis

This is a type that is caused by an allergic reaction. Symptoms include red, itchy skin that may blister, swell, and become crusty. The condition is most commonly seen in young children, but it can occur at any age. . It is a common skin condition that affects up to 20% of people in the United States.

Phototoxic contact dermatitis

This is a rare type of infection, and it is caused by exposure to a substance that reacts with sunlight to cause a skin reaction. Certain substances that can cause this infection include certain medications (e.g. tetracycline) and plants (e.g. parsley).

There is some confusion about the difference between phototoxic contact dermatitis and photodermatitis. While the two conditions have some similarities, they are actually two separate conditions.
It is a reaction that occurs when a person’s skin comes into contact with a substance that makes it sensitive to light. This condition is often caused by chemicals, such as sunscreens, fragrances, and hair dyes. Symptoms include a burning sensation, redness, and swelling.

Photodermatitis on the other hand is a condition that occurs when a person’s skin is exposed to ultraviolet (UV) light. This condition can be caused by exposure to the sun, artificial UV light (such as from a tanning bed), or certain medications. Symptoms of photodermatitis include a burning sensation, redness, and swelling.

Photoallergic contact dermatitis

This is a skin condition that can be caused by exposure to certain types of light, most notably ultraviolet (UV) radiation. This type is different from other types, such as allergic contact dermatitis, in that it is not caused by an allergic reaction to a particular substance. Instead, it is caused by an immune reaction to a substance that has been exposed to light.
Some of the most common triggers include:
• Sunscreen
• Fragrances
• Preservatives
• Rubber
• Dyes

There can be some overlap between photodermatitis and photoallergic contact dermatitis, but they are technically two different conditions. Photodermatitis is a skin reaction that occurs after exposure to sunlight or artificial UV radiation, while photoallergic contact dermatitis is a skin reaction that occurs after exposure to a chemical that has been sensitizing.

Photodermatitis is a type of contact dermatitis that occurs as a result of exposure to ultraviolet (UV) light. This type can be caused by natural sunlight or artificial UV light, such as from a tanning bed. Photodermatitis can cause a variety of symptoms, including a rash, itching, and blisters.

Photoallergic contact dermatitis is a type of contact dermatitis that occurs after exposure to a substance that causes an allergic reaction. This type of dermatitis can be caused by substances such as cosmetics, fragrances, and sunscreens. It can cause a variety of symptoms, including a rash, itching, and blisters.

Who gets contact dermatitis and why?

There are a number of factors that can make someone more likely to get it, including: having a history of allergies or asthma, being pregnant, having a skin condition like eczema or hives, and being exposed to harsh chemicals or allergens. If you have any of these risk factors, it’s important to take extra precautions to protect your skin.

There are a number of different things that can cause this infection, including:
—Hairspray
-Perfume
—Soap
-Laundry detergent
-Dishwashing detergent
-Chemicals used in industrial settings
Anyone can develop it, but some people are more at risk than others. It is not contagious, but can be extremely uncomfortable and difficult to live with.

Irritants

It is a condition that can be caused by a number of irritants, including:
• Chemicals, such as those found in cleaning products, cosmetics, and detergents
• Plants, such as poison ivy, poison oak, and poison sumac
• Foods, such as shellfish and nuts
• Metals, such as nickel and gold
• Veterinary products, such as flea and tick products

There are a number of skin care irritants that can cause this condition, a condition that results in red, itchy and inflamed skin. Some of the most common culprits include:
-Soaps and detergents
-Fragrances
-Pet dander
-Dust mites
-Chemicals in cosmetics and skincare products
-Sunscreen ingredients
The most common irritants are industrial products like detergents, solvents, and metals.
If left untreated, it can grow bacteria and cause further skin irritation.

What should I do if I develop contact dermatitis on the job?

If you develop it while on the job, you should take action right away with the following steps:

1. Contact your supervisor and let them know what’s going on. You may need to take a leave of absence until it clears up. In the meantime, make sure to keep the area clean and dry, and avoid scratching or rubbing it
2. Stop using the product or material that is causing the reaction.
3. If the reaction is severe, seek medical attention.
4. If the reaction is mild, try using a corticosteroid cream or ointment to help relieve the symptoms.
5. If the reaction persists, see a dermatologist for further treatment.
   6. If the dermatitis is caused by a specific substance or material that you know, tell your employer what it is.
   7.If you are required to work with the substance or material that is causing your illness, your employer may be able to provide you with gloves, a mask, or other protective gear to help minimize your exposure.

How can I prevent it?

There are a few things you can do to help prevent it:
-Avoid coming into contact with the allergen or irritant.
-Wash your hands regularly, especially before you eat.
-Avoid touching your face.
-If you have to come into contact with the allergen or irritant, wear gloves or a mask.
-Use a barrier cream to protect your skin.
-If you already havethe infection, avoid the allergen or irritant and use a corticosteroid cream to help relieve the symptoms.

Some common allergens and irritants that can cause contact dermatitis include:

• Nickel – found in costume jewelry, Some hair products, and some skin care products
• Fragrances – found in many cosmetics, soaps, and cleaning products
• Preservatives – found in many skin care products
• Sunscreen ingredients – can cause the condition in some people
In order to prevent it, it’s important to be aware of these ingredients and avoid them if possible. It’s also important to use gentle, non-irritating skin care products, and to avoid scratching or rubbing the skin.

Skincare products

One of the best ways to prevent the infection is to use gentle, unscented skin care products. Products that are free of harsh chemicals and fragrances are less likely to cause a reaction. If you have the infection, it’s important to find out what ingredients in your skincare products are causing the problem.
If you have this condition, it’s best to avoid using any skincare products until you’ve spoken to your doctor. He or she may be able to recommend a line of products that are safe for you to use. likeproducts that are hypoallergenic which means they will be perfect for those with sensitive skin.

Clothes

It is important to avoid wearing clothing made of synthetic materials, as this can often cause irritation. Cotton is a natural fiber that is often recommended for people with this infection as it is less likely to cause irritation than synthetic materials.

Gloves

If you are someone who loves to hike, but also suffers from the infection, don’t worry – there is a solution! You can still enjoy the great outdoors by wearing vinyl gloves or a hat. Avoid latex gloves as they can often cause allergic reactions, so it is best to stay away from them. Instead, try vinyl gloves. These gloves are a good alternative to latex gloves, as they are less likely to cause a reaction. So, next time you head out on a hike, make sure to bring a pair of vinyl gloves with you to keep your hands safe.

Contact dermatitis treatment

There are different ways to manage or treat the infection, depending on the cause and severity of the condition. Some common treatments include: using over-the-counter medications ,natural remedies, and prescription medications.

Over the counter contact dermatitis scalp treatment

There are a number of over-the-counter treatments that can help relieve the symptoms. These include:
Corticosteroid creams or ointments: These can help reduce inflammation and itching.
Calamine lotion: This can soothe skin irritation.
Antihistamines: These can help relieve itching and sneezing.
If contact dermatitis is caused by an allergic reaction, the best way to treat it is to identify and avoid the allergen.

Natural remedies for Contact dermatitis

There are a variety of natural remedies that can be used to treat it. Some of the most popular include:

1. Aloe Vera – Aloe vera is a natural anti-inflammatory that can help to reduce inflammation and itchiness. It can also help to promote healing. It can be applied topically to the skin to help relieve the symptoms.
2. Coconut Oil – Coconut oil: Coconut oil is a natural moisturizer that can help soothe the skin. It is also a good antibacterial agent, which can help to prevent infection.
3. Olive Oil – Olive oil is also a natural moisturizer with anti-inflammatory properties that can help treat the condition.
4. Apple Cider Vinegar – Apple cider vinegar contains acetic acid which has antibacterial and anti-inflammatory properties. It can be used as a topical treatment.
5. Tea tree oil: Tea tree oil is a natural antiseptic that can help to cleanse and disinfect the skin. It can also help to reduce inflammation and swelling.

prescription medications available, including:

• Topical corticosteroids
• Calcineurin inhibitors
• Antihistamines
• Systemic corticosteroids
• Phototherapy
• Tacrolimus
• Pimecrolimus
• Mycophenolate mofetil
• Methotrexate
• Oral streoids

Mild cases may only require over-the-counter medications, but more severe cases may require prescription medication or even surgery.
Some people may need to try a few different treatments before they find one that works best for them as some of these medications come in over-the-counter and prescription stength.

Topical corticosteroids

Topical corticosteroids are a type of medication that is applied to the skin. They are used to treat a variety of skin conditions, . Topical corticosteroids work by reducing inflammation. This can help to relieve the symptoms.
There are a few things to keep in mind when using topical corticosteroids for treatment:
-Only use them as directed by your doctor or the instructions on the packaging.

-Make sure you are using the right strength of medication for your condition.
-If your symptoms do not improve after using topical corticosteroids, be sure to see your doctor.
There are a variety of different topical corticosteroids that can be used to treat the infection. Your doctor will choose the one that is best for you.

Calcineurin inhibitors

Calcineurin inhibitors are a type of medication that can be used to treat contact dermatiti They are a type of medication that helps to suppress the activity of the immune system.They work by preventing the body from releasing certain chemicals that can cause inflammation and irritation in the skinn . This can help to reduce the symptoms and make it easier to manage. They are available as topical creams or ointments, and are usually applied twice a day.

Antihistamines

Antihistamines are medications that help relieve the symptoms of allergies, such as itching and swelling. They work by blocking the action of histamine, a chemical that is released during an allergic reaction.There are a number of different antihistamines available, and each person may respond differently to different medications. It is important to work with a healthcare professional to find the antihistamine that works best for you.

Systemic corticosteroids

Systemic corticosteroids are a type of medication that is used to treat a variety of conditions. These drugs can be very effective in reducing inflammation and helping to clear up the rash. They work by suppressing the immune system and this can help to reduce the symptoms.

Systemic corticosteroids can also help to suppress the immune system, which can be beneficial for people with the infection who have a hypersensitivity to certain allergens.

Phototherapy

Phototherapy is often used to help treat contact dermatitis. It involves exposing the skin to ultraviolet light. This helps to reduce inflammation and itching, and can help to speed up the healing process.

It helps to soothe the skin and prevents the rash from spreading. The light therapy also helps to heal the skin and eliminates any bacteria that may be causing the infection.

Tacrolimus

Tacrolimus is a medication that helps to suppress the immune system. This can help to reduce inflammation and allow the skin to heal. It is often used to treat severe cases, and can also help to speed up the healing process, and can be very effective in providing relief from symptoms.

Pimecrolimus

Pimecrolimus is a topical immunomodulator that has been FDA-approved for the treatment of atopic dermatitis. Research has shown that pimecrolimus may be beneficial in the treatment of other skin conditions, such as contact dermatitis.
It works by blocking the action of T-cells, which are responsible for the inflammation associated with the condition. Pimecrolimus is available as a cream or lotion and can be applied to the affected area two to four times a day.

Mycophenolate mofetil

Mycophenolate mofetil is a medication that is often prescribed to treat contact dermatitis. It helps to reduce the inflammation and swelling associated with the condition. Mycophenolate mofetil is also known to help reduce the number of clogged pores and whiteheads that can form as a result of the infection. In some cases, it can also help to control the hives and other symptoms associated with the condition.

Mycophenolate mofetil is a drug that is used to treat the condition by preventing the body from making T cells. T cells are important in the immune response and play a role in the development of this infection

Methotrexate

Methotrexate is a medication that is used to treat a variety of conditions, including cancer, rheumatoid arthritis, and psoriasis. It works by suppressing the immune system. When used to treat the infection, Methotrexate can help to reduce inflammation and swelling, as well as the symptoms of the rash.

It is a chemotherapy drug that works by slowing the growth of cells. When used to treat this condition, Methotrexate helps to reduce inflammation and swelling, and can help to clear up the skin quickly. It is usually prescribed in tablet form, but can also be given as an injection.

Oral steroids

Oral steroids are a common treatment for this disease. They help to reduce inflammation and swelling, and can speed up the healing process. They may be prescribed if the infection is severe, or if other treatments haven’t worked.

Natural contact dermatitis  scalp treatment options

If you are looking for any contact dermatitis home remedy, then this list below will give you some ideas as there are a number of home remedies that can help to treat this disease . Some people find that switching to natural soap and detergents helps, as these can be less harsh on the skin. Others find that using a natural moisturizer can soothe the skin. Some people find relief from using a topical cream that contains chamomile or calendula. Finally, eating a healthy diet that is low in processed foods and high in antioxidants can also help to improve the health of the skin.

Soap and detergents

Fortunately, there are many soap and detergent alternatives that can be used to cleanse and moisturize the affected skin. Here are some of the best:
Aloe vera gel: Aloe vera gel is a natural, gentle cleanser that is especially good for sensitive skin. It can be used as a standalone cleanser or as a part of a broader skin care routine.
Baking soda: Baking soda is a natural exfoliant that can help remove dead skin cells and other irritants from the skin.

It can also help neutralize pH levels and reduce inflammation.
Oatmeal: Oatmeal is a natural anti-inflammatory that can help soothe the affected skin. It can be used as a standalone cleanser or as part of a broader skin care routine.
Coconut oil: Coconut oil is a natural moisturizer that is effective at restoring moisture to dry, irritated skin. It can be used as a standalone moisturizer or as part of a broader skin care routine.

Contact dermatitis scalp treatment options – natural moisturizers

There are a number of natural moisturizers that can be helpful in treating the infection. Some of these include:
-Aloe Vera: Aloe Vera is a natural moisturizer that can help to soothe and protect the skin.
-Coconut Oil: Coconut oil is a natural moisturizer that is also antibacterial and antifungal.
-Shea Butter: Shea butter is a natural moisturizer that is rich in antioxidants and vitamins.
-Olive Oil: Olive oil is a natural moisturizer that is also rich in antioxidants.

These moisturizers are all effective at repairing the skin and preventing the formation of whiteheads and clogged pores. They are also safe to use during pregnancy and may be beneficial for those with Hidradenitis Suppurativa or urticaria.

Contact Dermatitis Scalp Treatment Options -Diet

Eating a healthy diet that is low in processed foods and high in antioxidants can also help to improve the health of the skin. Some good choices include fruits and vegetables, nuts, seeds, and whole grains.

Following a healthy diet can help to improve your skin health and reduce your symptoms.
Some good foods to eat include:
• Fruits and vegetables: these are packed with vitamins, minerals, and antioxidants that can help to nourish and protect your skin.
• Lean proteins: proteins help to rebuild tissue and promote healing, making them a good choice for people with the condition.
• Healthy fats: Omega-3 fatty acids are beneficial for the skin, and can help to reduce inflammation and irritation.
• Whole grains: whole grains are high in fiber and nutrients, and can help to keep your gut healthy which in turn can improve your skin health.
Following a healthy diet is just one part of managing it, but it can be a helpful step in improving your skin health.

Prognosis

The prognosis will vary depending on the underlying cause of the condition. However, in general, most cases are relatively mild and can be treated successfully with over-the-counter medications and/or other self-care measures. More severe cases may require prescription medications or other forms of treatment.
The prognosis varies depending on the cause of the condition. In some cases, the infection may clear up on its own within a few weeks. However, in other cases, the condition may be ongoing and require treatment.

What is Occupational contact dermatitis?

It is a form of skin inflammation that is caused by exposure to certain chemicals or other irritants at work. It can result in a variety of symptoms, including redness, swelling, blisters, and cracking or peeling of the skin. In severe cases,it can lead to permanent scarring.

When should I see the doctor?

There are a few times when you should see the doctor about yourcondition:If your rash is severe or covers a large area of your body

If the rash does not improve after using home remedies for a week

If you develop blisters, pus-filled bumps, or a fever

If you have a history of allergic reactions to something
If you are pregnant, have a history of contact dermatitis, or are experiencing a severe or chronic rash, you should see your doctor right away.

Questions to expect from your doctor

If you are experiencing the infection, it is important to schedule a consultation with your doctor as soon as possible. During the consultation, your doctor will likely ask you a series of questions to help determine the cause of your condition. The doctor will use this information to develop a treatment plan specifically for you. Some of the questions you can expect to be asked include:

-What symptoms are you experiencing?
-When did you first begin experiencing symptoms?
-What do the symptoms look like?
-What substances or products are you in contact with that may be causing your rash?
-Have you been exposed to any new allergens recently?
-Are you taking any medications that may be contributing to your rash?
-What seems to aggravate your condition?
-What treatments have you tried so far?
-What medications are you currently taking?
-Do you have any other medical conditions?
-Have you tried any home or over-the-counter remedies for your condition?
-Do you have any known allergies?
-What is your current skincare routine?
-Do any members of your family have a history of contact dermatitis?
-What type of work do you do?
-What type of hobbies do you have?
-Have you been in contact with any plants or animals that you know of?
-Have you been traveling recently?

These are just some of the questions that your doctor may ask you during your consultation. It’s important to be prepared to answer them as accurately as possible, so that your doctor can make an accurate diagnosis and recommend the best treatment plan for you.

Questions to ask your doctor

If you’re suffering from this disease, it’s important to consult with a doctor to get the best contact dermatitis  scalp treatment possible. However, before you go to your appointment, it’s helpful to know what questions to ask. Here are a few questions you should ask your doctor during your consultation:

1. What are the possible causes of my infection?
2. What are the best treatment options for my condition?
3. What can I do to prevent future outbreaks?
4. Are there any long-term effects?
5. Are there any diet or lifestyle changes I should make?
6. What are the potential side effects?
7. How long will it take for me to recover?
8. What should I do if my symptoms don’t improve after treatment?
9. Will I need to follow up with you after treatment is completed?
10. Are there any other specialists I should see for my condition?
    If you have any other questions, be sure to discuss them with your doctor during your consultation. physical, emotional, and psychological impact

It can have a significant physical, emotional, and psychological impact on those who suffer from it. The physical symptoms can be quite uncomfortable and can include itching, burning, stinging, and swelling. In some cases, it can even lead to skin peeling, blistering, and cracking.
The emotional effects can be just as severe as the physical symptoms. Many people who suffer from it feel embarrassed and ashamed of their condition.

They may feel like they are the only person in the world who is dealing with this type of problem. This can lead to feelings of isolation and depression.
The psychological effects can be just as severe as the emotional effects. Many people who suffer from the condition find that their quality of life is significantly reduced. They may have trouble sleeping or concentrating at work. They may also feel anxious and stressed all the time. This can lead to a decrease in overall happiness and satisfaction with life.

Can a child have contact dermatitis?

Contact dermatitis can occur in both children and adults, and it may vary in severity from person to person.

Generally, the allergic type of contact dermatities in children starts developing at age 2 to 3 years, and even as early as six month. This is because they are continuosely exposed to sensitizing agents and their cell-mediated immune system is usually not developed enough to protect them from allergents,

whereas irritant contact dermatis might be experienced from birth, because Irritant contact dermatitis is caused by contact with an irritant. which can include chemicals, detergents, solvents, and other harsh substances.

My take

Whether you have contact dermatitis on your skin or on your scalp, this disease can be a really tricky thing to deal with, both physically and emotionally. It can be frustrating not knowing what’s causing your skin or scalp to react the way it does, and it can be really tough to watch your body go through all of those uncomfortable symptoms.
But it’s important to remember that you’re not alone. A lot of people suffer from it, and there are plenty of people out there who want to help you. So please don’t hesitate to reach out for support.

Some general tips that might be helpful include to you include:
Stay positive and upbeat, despite your condition.
Try to maintain a normal daily routine as much as possible.

Helping someone else with the disease

Contact dermatitis can be very frustrating and uncomfortable. It can be difficult to know what to say to someone who is dealing with this condition. However, it is important to let them know that you care and that you are there to support them. Here are a few words of encouragement that you can share with someone who is dealing withit:

1. You are not alone. This is a common condition that affects many people.
2. You can get help. There are many treatments available.
3. You are doing the best you can. Just because you have it does not mean that you are a bad person or that you have done something wrong.
4. You are strong. This disease can be very challenging, but you are handling it well.
5. You will get through this. It can be a difficult condition to deal with, but you will make it through.

Percentage and demographics of contact dermatitis infections in the United States

It is estimated that this condition accounts for approximately 10-15% of all dermatologic visits in the United States, and the condition can occur in people of all ages. While the incidence is about the same for both men and women, certain demographics are at a higher risk for developing the condition. For example, it is more common in younger adults, new mothers, and people with a history of eczema or asthma. In addition, certain occupations and hobbies can increase a person’s risk for the infection, including working with harsh chemicals or participating in outdoor activities.

According to the American Academy of Dermatology, contact dermatitis is one of the most common skin conditions in the United States, affecting approximately 17 percent of the population. It is estimated that nearly $1.5 billion is spent on treatments each year.
In the United States, it is most commonly diagnosed in people between the ages of 20 and 40, and it disproportionately affects women.

For more information , please see the following web references:

Mayo Clinic:
National Institute of Arthritis and Musculoskeletal and Skin Diseases: www.niams.nih.

Contacontact dermatitis  scalp treatment options