Help Identifying a scalp infection

[Stellaevil]

All my symptoms point to Black Piedra and I was in Chennai India for 10 days but that was 2 years ago. No fungal treatment over the last 3 months is working. My head has been shaved for 2 months but the black crust keeps growing out covering the hair from inside the follicle. When my hair was longer it felt like grains of sand but nothing would ever fall out.        

[purple1234567]

Have you been to a doctor about the issue?  Did a fungal treatment work previous to the last three months?  

[Stellaevil]

Topical Terbinafine cream did not help doctor is treating with Ketoconazole 2% shampoo and topical Clindamycin 1%. I may be noticing a 10% increase in my normal gray follicles at two weeks treatment.  I would love to send a picture.  

[Stellaevil]

Topical Terbinafine cream did not help Dermatologist is now treating with Ketoconazole 2% shampoo and topical Clindamycin 1%. Maybe 10% improvement in two weeks.

[purple1234567]

Let your doc know that the second topical isn't working either- they need to know that it isn't helping so that they can look into other treatments.