Itchy, tight and sore scalp with hair loss

I want to say for the past 4.5 years my scalp has been having problems that I am not sure if it is due to hair loss, is causing the hair loss or what. The top part of my scalp is often (has been worse) sore and feels stiff. It is itchy sometimes, and is oily when I don’t wash it after a day. If I push my hair up, it feels weird and uncomfortable, especially if my hair isn’t in a natural resting position. There was a comment I saw about someone scratching their scalp and the dandruff would stick to the underside of the nails. I honestly thought that was normal. My temples have receded quite a bit, with diffuse thinning going on in the area that I just mentioned. In the last year and a half, the diffuse thinning has become more noticeable. There are miniaturized hairs and different sizes.

Some men who get itching associated with hair loss have an associated autoimmune disease of the scalp. A dermatologist should be able to recognize this by taking a biopsy of various areas of the scalp as well as performing a detailed trichoscopy. There are diseases that are known to cause this and these diseases must be ruled out. These diseases include psoriasis, lichen plinoplaris, seborrheic dermatisis and others. Are you sure that you are not scratching your scalp to produce the soreness?