Dandruff is white flakes of skin that often appear on your shoulders. While it can be embarrassing or itchy, it is harmless. Dandruff is similar to scalp psoriasis but isn’t as severe. Dandruff appears when skin cells are growing and dying off too fast. In some cases, a fungus called Malassezia may contribute to this. In many cases, this fungus doesn’t affect your scalp, but it can sometimes, causing your immune system to overreact. This over action jump starts your skin cells to grow faster, causing dandruff. In many cases, you can get over the counter treatments to treat your dandruff. For severe cases of dandruff, come to our clinic and get evaluated by our providers.