Question: I have a problem with white scaly patches on the skin in my beard and eyelashes with occasional occurrences in the scalp and in the creases on either side of my nose. I have tried medicated shampoos and using conditioner after washing my hair and beard. The problem sometimes disappears for some time but eventually comes back. It seems to be different from dandruff.

Dr. Hibberd's Answer:

The most obvious question is whether you have an infectious condition or not. Superficial scaling is common with seborrhea, often thickened with a slightly greasy consistency. Superficial fungal infection may be present and can be clearly defined by fungal stain or even culture of some of your scale. Atopic dermatitis, atypical psoriasis and many other skin disorders can look similar to untrained eyes, but all of their treatment differs. If incorrectly diagnosed, the treatment for one may cause a flare up of another. I recommend you seek a dermatology consultation before embarking on further self-diagnosis. You will feel better much faster with professional help than going it alone!