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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Scales</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Scales are a visible peeling or flaking of outer skin layers. These layers are called the stratum corneum.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Scales may be caused by dry skin, certain inflammatory skin conditions, or infections.</p><p>Examples of disorders that can cause scales include:</p><ul><li><a test="test" href="./000853.htm">Eczema</a></li><li>Fungal infections such as <a test="test" href="./001439.htm">ringworm</a> or <a test="test" href="./001465.htm">tinea versicolor</a></li><li><a test="test" href="./000434.htm">Psoriasis</a></li><li><a test="test" href="./000963.htm">Seborrheic dermatitis</a></li><li><a test="test" href="./000871.htm">Pityriasis rosea</a></li><li>Discoid lupus erythematosus, an <a test="test" href="./000816.htm">autoimmune disorder</a></li><li>Genetic skin disorders called ichthyoses</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>If your health care provider diagnoses you with dry skin, you'll likely be recommended the following <a test="test" href="../patientinstructions/000751.htm">self-care measures</a>:</p><ul><li>Moisturize your skin with an ointment, cream, or lotion 2 to 3 times a day, or as often as needed.</li><li>Moisturizers help lock in moisture, so they work best on damp skin. After you bathe, pat your skin dry then apply your moisturizer.</li><li>Bathe only once a day. Take short, warm baths or showers. Limit your time to 5 to 10 minutes. Avoid taking hot baths or showers.</li><li>Instead of regular soap, try using gentle skin cleansers or soap with added moisturizers.</li><li>Avoid scrubbing your skin.</li><li>Drink plenty of water.</li><li>Try over-the-counter cortisone creams or lotions if your skin is inflamed.</li></ul><p>If your provider diagnoses you with a skin disorder, such as an inflammatory or fungal disease, follow instructions on home care. This may include using a medicine on your skin. You may also need to take a medicine by mouth.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Call your provider if your skin symptoms continue and self-care measures aren't helping.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Your provider will perform a physical exam to look closely at your skin. You may be asked questions such as when the scaling began, what other symptoms you have, and any self-care you've done at home.</p><p>You may need blood tests to check for other conditions.</p><p>Treatment depends on the cause of your skin problem. You may need to apply medicine to the skin, or take medicine by mouth.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Skin flaking; Scaly skin; Papulosquamous disorders; Ichthyosis</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2232t.jpg" alt="Psoriasis - magnified x4" title="Psoriasis - magnified x4" class="side-img"/><a href="../imagepages/2232.htm">Psoriasis - magnified x4</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2468t.jpg" alt="Athlete's foot - tinea pedis" title="Athlete's foot - tinea pedis" class="side-img"/><a href="../imagepages/2468.htm">Athlete's foot - tinea pedis</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2407t.jpg" alt="Eczema, atopic - close-up" title="Eczema, atopic - close-up" class="side-img"/><a href="../imagepages/2407.htm">Eczema, atopic - close-up</a></li>
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/2531t.jpg" alt="Ringworm - tinea manuum on the finger" title="Ringworm - tinea manuum on the finger" class="side-img"/><a href="../imagepages/2531.htm">Ringworm - tinea manuum on the finger</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Dinulos JGH. Psoriasis and other papulosquamous diseases. In: Dinulos JGH, ed. <em>Habif's Clinical Dermatology</em>. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 8.</p><p>Marks JG, Miller JJ. Scaling papules, plaques, and patches. In: Marks JG, Miller JJ, eds. <em>Lookingbill and Marks' Principles of Dermatology</em>. 6th ed. Philadelphia, PA: Elsevier; 2019:chap 9.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 6/7/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Elika Hoss, MD, Assistant Professor of Dermatology, Mayo Clinic, Scottsdale, AZ. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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