The most obvious symptom of dandruff is the presence of white or yellowish flakes of dead skin on the scalp and in the hair. These flakes can sometimes be seen on the shoulders, especially when wearing dark clothing. Dandruff often causes itching, which can be mild to severe. The itchiness is due to the irritation and inflammation of the scalp. The scalp may appear dry, tight, or rough. In some cases, the scalp can also feel oily, especially if seborrheic dermatitis is involved. The scalp can become red and irritated, particularly in severe cases. This is usually due to the body's inflammatory response to the underlying causes of dandruff. The scalp may become more sensitive to touch, hair care products, and environmental factors. In some cases, particularly with seborrheic dermatitis, the scalp can become oily, with greasy patches that are often accompanied by flakes.

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