Wonderful articles. Thank you. My problem started after I went away to college, 52 years ago! I never had any problems in my own, home area, with scalp or face, nor did I ever have acne or even a pimple. Shortly after starting school in Buffalo, I started to get scales on the sides of my nose, right greater than left. At first I could scrub them off with a wash cloth. All this time, my scalp remained clear. I was using Breck shampoo at the time which had coconut oil. Breck is out of business, I believe. By the 80s, problems had started on my scalp and the sides of my nose looked like alligator skin. I tried everything available at the time - Sea Breeze Sensitive Skin, straight rubbing alcohol, Neutrogena liquid soap (worked the best at that time). Nothing helped either permanently. A dermatologist put me on Accutane for a while which did seem to help but only for a while. Were I not done having my family, I never would have used it. Fast forward to late 90s when a dermatologist ordered Nizoral prescription shampoo (not the OTC one) plus something called FS shampoo. I was to use both on face and scalp. They worked beautifully, for a while. Eventually the FS Shampoo formulation changed (and worked less well) and then was discontinued. Recently I tried the new Head & Shoulders in the dark blue bottle (with selenium sulfide) and it worked better than anything ever before, on my scalp - BUT I noted my hair getting thinner. I could actually see pieces of it here and there so stopped using it. I went back to Nizoral prescription shampoo but it does not seem to work as well as it once did, sadly, and it seems to make the back of my head smell awful (cannot figure out why). Because of it, I have taken to putting alcohol on the back of my head. As far as the plaques on my nose are concerned, I started using Murad’s Resurgence line. The cleanser has papaya and that keeps the plaques off my nose, thank Heavens, and my skin looks better than it has in a long time. My scalp is another story and is driving me crazy, with some itching bumps coming down onto my forehead. I do note an increase in problems if I consume too many sugary goodies. An article I read recently on the scalp flaking says to use the different types of dandruff shampoos but use a different type (ingredient-wise) every single time you wash your hair, so the fungi do no beckme resistant to the medication within. I bought some coconut oil so will give that a try tonight to see what happens, but I have also made an appt with my dermatologist. Oh there is also a scalp product called fluocinolone acetonide 0.01% topical oil. It is by prescription here in the US and I believe it is a cortisone-type product. You apply all over scalp for 4 hours, cover with shower cap and then wash out with regular shampoo. I will give it a try to see if it calms the itching. The dermatologist told me I have “typical Irish ancestry skin” - too sensitive and with too rapid cell overturn, leading to the plaques on my nose and scalp. If there are any updates after I see her, I will post again. Thanks for all your research.