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This alarming scalp condition could be caused by several underlying issues, most commonly a severe skin or hair follicle disorder.

The patchy hair loss, redness, and inflamed bumps suggest possibilities such as folliculitis, a bacterial or fungal infection that affects hair follicles, or alopecia areata, an autoimmune condition that leads to sudden hair loss. In more advanced cases, it might be linked to scalp psoriasis or even tinea capitis (a fungal infection), especially if scaling and irritation are present.

Poor hygiene, excessive sweating, or a weakened immune system can increase the risk of such conditions. However, self-diagnosing can be misleading. A dermatologist should evaluate symptoms early to prevent permanent hair loss or scarring. Prompt treatment—whether antifungal, antibiotic, or anti-inflammatory—can significantly improve recovery and restore scalp health.