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Talk with your doctor about the potential side effects of these treatments. If your psoriasis doesn't respond well after repeated use of one medication, your doctor may replace or combine it with another type of treatment. Here are some frequently asked questions about scalp psoriasis.
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A healthcare professional may recommend over-the-counter (OTC) or prescription medications, as well as at-home remedies. Coal tar products are available OTC as shampoos, creams, gels, ointments, foams, and soaps. They can help slow skin growth and reduce inflammation, itching, and scaling. To apply a coal tar shampoo, massage it into the scalp and leave on 5 to 10 minutes before rinsing out. A non-medicated conditioner after shampooing can help against the odor of tar shampoo.
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Scalp psoriasis can be mistaken for seborrheic dermatitis (dandruff). Psoriasis has thicker, drier silvery scales and often extends beyond the hairline. Seborrheic dermatitis scales are greasy-looking and white or yellowish, and they attach to the hair shaft.
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How can I prevent scalp psoriasis?
In addition, some patients may develop psoriatic arthritis, a type of arthritis that affects the joints and can cause pain, stiffness, and swelling. Normally, skin cells grow and shed in a regular, controlled manner. However, in individuals with scalp psoriasis, the immune system sends faulty signals to the skin cells, causing them to grow and divide too quickly. Certain environmental factors can trigger scalp psoriasis.
If you have symptoms that suggest psoriasis, make an appointment with a healthcare provider. They may be able to diagnose and treat you, or they may refer you to a dermatologist (a doctor who specializes in conditions of the skin, hair, and nails). Light therapy, or phototherapy, can also be effective in treating scalp psoriasis.
Once psoriasis symptoms are treated, hair loss is usually reversible. Treatment options include medications applied to the skin, medicated shampoos, scale softeners, injections, light treatments, and oral medications. If a person has sebopsoriasis, in which symptoms of seborrheic dermatitis and psoriasis overlap, the dandruff may worsen the symptoms of psoriasis. A doctor will recommend alternating an antifungal shampoo with a coal tar shampoo, as well as prescription medications.
Sometimes a dermatologist also needs to remove a bit of skin. The lab report will tell the dermatologist whether the patient has scalp psoriasis. Use these professionally produced online infographics, posters, and videos to help others find and prevent skin cancer. A doctor can usually tell the difference between scalp psoriasis and dermatitis by taking a look at the affected area. In other cases, it might be trickier to tell the difference. It’s important to work with a healthcare professional, as some medications may have possible side effects and interact negatively with other drugs.
They’ll also ask about your symptoms, your family history and if you’ve recently started or stopped using a medication or hair product just before your flare-up. Scalp psoriasis causes thick, rough, scaly, dry, discolored plaques to develop on your scalp and the skin around your scalp. Scalp psoriasis can cause hair loss (alopecia), and scratching your plaques may worsen that hair loss.
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If your symptoms don’t respond to topical treatments, phototherapy with a laser or non-laser light source may help. For example, the excimer laser focuses high-intensity light on affected areas and avoids the surrounding healthy skin. Additionally, some shampoos can make symptoms worse, so it is essential to see a healthcare provider for recommendations of safe and effective products. If shampoos, creams, foams, gels, or sprays aren’t enough to control your scalp psoriasis, your doctor may suggest other options. Ultraviolet B phototherapy -- light aimed directly at lesions, usually in a doctor’s office -- works for some people. This skin disease happens when your immune system sends faulty signals and skin cells grow too quickly.
The tool may be like a laser or a comb, and the doctor may use a blow dryer to separate the hair. A healthcare provider will ask about your typical hair care routine and help you decide on topical treatments. Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. Up to 80% of people with psoriasis experience skin patches on their scalp. Symptoms may also affect other body parts, such as your elbows, knees, and lower back.
It’s important to avoid peeling your flakes, as this may result in bleeding, infection, or hair loss. Pure, 100% henna is a natural alternative to chemical-laden hair dyes. You should avoid so-called black henna (real henna is a shade of orange).
It causes silvery-red or purplish scaly skin patches, known as plaques. Your immune system overreacts, causing inflammation, which leads to new skin cells growing too fast. Psoriasis support groups can also offer valuable tips to help medical treatments work better and ease the stress and sadness that this common condition can cause.
A healthcare provider may recommend topical medications (those applied to the skin), oral medications, or newer biologic therapies via injection for psoriasis. Light therapy can help many people, as can working on the mind/body connection through various stress management techniques. Treatment options are available over the counter, but you may need to consult your healthcare provider for advice and care. Treatment options include topical creams and lotions, shampoos, medications taken by mouth, and light therapy. Lifestyle changes, such as reducing stress and modifying your diet, can also help. Treatments applied to the skin are generally the starting point for psoriasis treatment, but people with moderate or severe disease often need additional approaches.
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