Clearing Up Scalp Acne

Q. I'm a 63-year-old male. In the last few years I've developed pimples in my hair. I am mostly bald but don’t have acne in the bald areas or anywhere else; only in my hair. What can I do?
-- Frank, via e-mail

A. Now there's the definition of a bad hair day: hair zits. Actually, they're probably not pimples. More likely, you've got seborrheic dermatitis, what's known as cradle cap in babies. It occurs more frequently than we realize in adults; it's just harder to see. Often it's linked to yeast fungus, although stress, fatigue, and winter weather sometimes trigger "breakouts." If it's mild, you may be able to control it with a non-prescription antifungal solution, such as 1% ketoconazole lotion. A daily application of tea tree oil or weekly use of a coal tar shampoo may help, too. Also, wash your hair daily with a mild shampoo to keep your scalp and hair clear of oil, debris, and dead skin cells.

If that doesn't work, see a dermatologist (we guarantee you won't be the only 60-something in the waiting room). You may need a prescription treatment.

Is your skin starting to act like a teenager's? Try these adult acne treatments.