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Seek prompt medical advice if you notice any of the following red-flag features, as these may indicate a condition requiring more urgent assessment: A painful, inflamed, or tender scalp Pustules, crusting, or scaling on the scalp Signs of scarring — areas where the scalp skin appears smooth, shiny, or permanently hairless Sudden patchy hair loss in a child (which may suggest tinea capitis) Rapid or extensive hair loss accompanied by systemic symptoms The NHS Hair loss (Alopecia) page provides further patient-friendly guidance on when to seek help