At one time or another, dandruff has been blamed on dry skin, oily skin,
shampooing too often or not often enough, a poor diet, stress, and the
use of too many fancy styling products. Although some of these factors
may exacerbate or contribute to scalp flaking, the real culprit may be a
fat-eating, yeast-like fungus called malassezia, formerly known as
pityrosporum.
Malassezia lives on the scalps of most healthy adults without causing
problems. But sometimes it grows out of control, feeding on the oils
secreted by your hair follicles and causing irritation that leads to
increased cell turnover.
All skin cells die and are replaced by new cells. Normally, it takes
about a month for new cells to move from the lowest layer of your skin,
where they form, to the outermost layer, where they die and scale off in
flakes. Because cells renew themselves slowly, this process usually
isn't noticeable.
But on scalps where malassezia thrives, the whole process can take as
little as 11 days. The result is a large number of dead skin cells. As
the cells fall off, they tend to clump together with oil from your hair
and scalp, making them appear white, flaky and all too visible.
Scientists used to think that a type of malassezia fittingly called
M. furfur was responsible for dandruff. But new studies show that
two other forms of the fungus — M. restricta and M. globosa
— are to blame. Exactly what causes an overgrowth of these organisms
isn't known, although increased oil production, hormonal fluctuations,
stress, illness, neurologic disorders such as Parkinson's disease, a
suppressed immune system, infrequent shampooing, extra sensitivity to
the malassezia fungus and even heredity may contribute to the
development of dandruff.