What Is Scalp Psoriasis

How Is It Treated?

SCALP CARESCALP CONDITIONS

2/22/20253 min read

Courtesy of DermNet
Courtesy of DermNet

If your scalp is itchy, flaky, and constantly acting up, you might be dealing with scalp psoriasis. It’s a common condition, but that doesn’t make it any less frustrating. The good news? With the right care and treatment, you can manage it effectively. Let’s break down what scalp psoriasis is, what causes it, and how you can treat it to keep your scalp happy and healthy.

What Is Scalp Psoriasis? 🤔

Scalp psoriasis is a chronic autoimmune condition where your skin cells multiply too quickly. This causes thick, scaly patches on the scalp, often accompanied by redness and itching.

Key Facts About Scalp Psoriasis:

- It affects about 50% of people with psoriasis, but it can also show up on its own.

- Psoriasis isn’t contagious—you can’t catch it or spread it to others.

- While it can appear anywhere on the scalp, it may also extend to the forehead, back of the neck, or behind the ears.

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What Does Scalp Psoriasis Look Like? 👀

Here are the common signs and symptoms:

1. Flaky Patches: Thick, silvery-white scales that resemble dandruff but are more stubborn.

2. Redness: Inflamed skin under the scales.

3. Itching: Persistent itchiness that can be mild to severe.

4. Dryness: Your scalp might feel tight or dry.

5. Hair Loss: Scratching or inflammation can lead to temporary hair thinning, but the follicles are usually unaffected.

What Causes Scalp Psoriasis? 🌿

The exact cause isn’t fully understood, but it’s linked to an overactive immune system. Triggers can include:

- Genetics: If psoriasis runs in your family, you’re more likely to develop it.

- Stress: Emotional or physical stress can worsen flare-ups.

- Weather: Cold, dry conditions can aggravate symptoms.

- Infections: Illnesses like strep throat can trigger a flare.

- Certain Medications: Some drugs, like lithium or beta-blockers, may worsen psoriasis.

How Is Scalp Psoriasis Treated? 🌟

While there’s no cure for psoriasis, there are plenty of treatments to manage the symptoms and keep flare-ups under control.

1. Medicated Shampoos 🧴

- Look for shampoos containing:

- Coal Tar: Slows down skin cell growth and reduces inflammation.

- Salicylic Acid: Exfoliates scales and removes buildup.

- Zinc Pyrithione: Soothes irritation and controls flaking.

- Use medicated shampoos 2–3 times a week as part of your routine.

2. Topical Treatments 💆‍♀️

- Corticosteroids: Reduce redness and itching.

- Vitamin D Analogs: Slow down skin cell production (e.g., calcipotriol).

- Coal Tar Ointments: Can be applied directly to stubborn plaques.

3. Phototherapy 🌞

- UV light therapy can help reduce inflammation and slow skin cell turnover. This treatment is typically done in a clinical setting but can sometimes be managed with at-home UV combs.

4. Oral or Injectable Medications 💊

- For severe cases, doctors may prescribe:

- Biologics: Target specific parts of the immune system (e.g., Humira, Cosentyx).

- Oral Retinoids: Help slow skin cell growth.

- Methotrexate: Suppresses the immune system to reduce symptoms.

5. Moisturizers and Oils 💧

- Keep your scalp hydrated with lightweight, non-greasy moisturizers or natural oils like coconut or jojoba oil.

At-Home Tips for Managing Scalp Psoriasis 🌸

1. Be Gentle 💆‍♀️

- Avoid picking at scales or scratching—this can worsen inflammation and lead to hair loss.

2. Keep Your Scalp Moisturized 💧

- Use hydrating shampoos or overnight treatments to lock in moisture.

3. Manage Stress 🧘‍♀️

- Incorporate relaxation techniques like yoga, meditation, or journaling into your routine.

4. Avoid Triggers 🚫

- Identify and avoid triggers like cold weather or harsh hair products.

5. Protect Your Scalp from the Sun 🌞

- A little sunlight can help, but always use sun protection to avoid burns.

When to See a Doctor 🩺

If over-the-counter treatments aren’t working or your symptoms are severe, consult a dermatologist. They can diagnose your condition and recommend stronger treatments tailored to your needs.

From Root to Tip

Scalp psoriasis might be stubborn, but it’s manageable with the right care and treatments. Whether you’re using medicated shampoos, moisturizing your scalp, or working with a dermatologist, you can keep flare-ups under control and enjoy healthier hair days. 💕