Fungal?: You may have seborrheic dermatitis or eczema, and often, an underlying fungal infection triggers it. Very often, when we pick on the scales, that can cause a secondary bacterial infection which leads to pain. Make sure there is no sign of lice. I would try Nizoral shampoo as instructed on the bottle and when that's finished, you might want to apply topical corticosteroid (like Scalpicin.)
Answered 5/5/2020
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