 [ Symptoms ] i am an 81 year old man with a severe scalp problem scales that are moving down to my face do you have any suggestions  my dermatologist tried using a procedure that was very cold but the situation has gotten worse this problem runs in my family so it may be a genetic thing [ Disease ] if you are suffering from a severe scalp problem your differential diagnosis at age 81 may include anything from infection an immunologic disease or cancer you should have your condition evaluated by a physician