Psoriasis (Scaly Patches on the Scalp)

When Your Scalp Decides to Show Off


Bless your heart, if you’re dealing with Psoriasis, you know it’s a condition that loves attention. It’s not content with a quiet itch—oh no, it has to throw scaly patches and redness into the mix, too. But don’t you worry, darlin’, we’re about to dive into what’s going on and how to tackle it head-on.

What Is Psoriasis?


Psoriasis is an autoimmune condition where your skin cells decide to work overtime, producing new cells faster than your scalp can shed the old ones. This leads to thick, silvery scales and red patches that can show up anywhere, but the scalp is a favorite target. Think of it as your skin throwing a “too much” party—too many cells, too fast, and too visible.

What Causes It?

  • Autoimmune Trouble: Your immune system gets its wires crossed and speeds up skin cell production.

  • Genetics: If psoriasis runs in the family, you’ve got a higher chance of dealing with it.

  • Triggers: Things like stress, cold weather, infections, or even certain medications can make it flare up.

Signs of Scalp Psoriasis

  • Thick, crusty patches of skin that flake off (like dandruff, but more stubborn).

  • Red, inflamed areas that might itch or burn.

  • Cracking or bleeding skin in severe cases.

  • Hair loss—usually temporary—caused by scratching or irritation.

What Can You Do About It?

  • Medicated Shampoos: Look for shampoos with salicylic acid or coal tar to soften and clear those scales.

  • Topical Treatments: Steroid creams, vitamin D analogs, or other prescription meds can help reduce inflammation.

  • Scalp Care: Gently massage your scalp to loosen scales, but avoid over-scratching.

  • Phototherapy: If your psoriasis is severe, light therapy can work wonders.

  • Stress Management: Psoriasis loves stress like biscuits love gravy, so find ways to keep calm.

A Little Southern Wisdom


Sugar, psoriasis might make your scalp feel a little extra, but don’t let it steal your shine. With the right care and treatments, you can manage it like a pro. Remember, it’s not about perfection—it’s about feeling comfortable in your own skin (scales and all).

Courtesy of DermNet