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"MY INFANT HAS DRY SCALP, IS THIS CRADLE CAP?"

"MY INFANT HAS DRY SCALP, IS THIS CRADLE CAP?"
"My daughter is 9-months-old and has very dry scalp - what would be a good treatment? I only wash her hair every 2-3 days and I use baby body wash - so it is rather mild. It's pretty dry and very flaky."

Dry scalp

You might try washing her hair less often, maybe every 5-7 days. If this doesn't help, then this is probably something called cradle cap, which is similar to "dandruff" in older children.

  • In infants with cradle cap, the scalp can have yellow scales and crusts, and might be greasy or dry. Often, the eyebrows are also affected.
  • Sometimes, it will cause the skin around the ears to get red, scaly, and maybe look a little greasy.
  • Cradle cap usually does not itch, and usually does not bother the baby.
  • The cause is unknown, and without treatment, cradle cap will usually resolve by the child's 1st birthday.

Treatment:

Since cradle cap usually doesn't bother the baby, try the oil treatment first. If it persists or worsens, then add the dandruff shampoo treatment.

  • Use baby oil or olive oil to soften the thick crusts. Rub it in with your fingers, let the oil soak in for 15-30 minutes, then gently remove the crusts with a soft toothbrush. Wash the oil out immediately. This is very important, leaving the oil in too long can cause her whole face to break out in a rash.
  • Antidandruff shampoo. Use an over-the-counter brand, such as Neutrogena T-gel. Be careful to keep it out of her eyes. After lathering it into her hair massage the scalp with a washcloth. Use it once or twice a week for about two weeks.

When to see the doctor:

  • The scalp or skin starts to look infected.
  • The rash is spreading beyond the scalp.
  • The cradle cap is not starting to clear up after a few weeks of treatment.

Dr. Jim

   
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