Scalp Psoriasis

12 min read

Scalp psoriasis is a common skin condition that affects the scalp. It is characterized by red, scaly patches that can be itchy and uncomfortable. It is a chronic condition, meaning it can last for a long time and may come and go in cycles. While it is not contagious, it can be embarrassing and difficult to manage.

Causes of Scalp Psoriasis

The exact cause of scalp psoriasis is unknown, but it is believed to be related to an overactive immune system. It is also thought to be hereditary, as it tends to run in families. Other factors that may contribute to scalp psoriasis include stress, certain medications, and skin injuries.

Diagnosis of Scalp Psoriasis

Scalp psoriasis is usually diagnosed by a doctor or dermatologist based on a physical examination. They may also take a skin sample to confirm the diagnosis. In some cases, a blood test may be necessary to rule out other conditions.

Complications of Scalp Psoriasis

Scalp psoriasis can lead to complications such as hair loss, infection, and skin discoloration. It can also cause psychological distress due to the visible nature of the condition. In some cases, it can lead to depression and anxiety.

Living with Scalp Psoriasis

Living with scalp psoriasis can be challenging, but there are ways to manage the condition. It is important to follow a doctor’s advice and use the recommended treatments. It is also important to practice good skin care, such as using gentle cleansers and avoiding harsh chemicals. Additionally, stress management techniques can help reduce flare-ups.

Take the Scalp Psoriasis Assessment

Symptoms

Common Symptoms of Scalp Psoriasis

  • Red, scaly patches on the scalp
  • Itching and burning sensation on the scalp
  • Hair loss
  • Dandruff-like flakes
  • Tenderness or soreness on the scalp
  • Thick, crusted sores

Less Common Symptoms of Scalp Psoriasis

  • Painful, swollen lymph nodes in the neck
  • Headaches
  • Fatigue
  • Depression
  • Joint pain

When to See a Doctor

If you have any of the symptoms of scalp psoriasis, it’s important to see a doctor. A doctor can diagnose scalp psoriasis and recommend the best treatment for you. Treatment options may include topical medications, light therapy, and oral medications.

Causes

Genetics

Genetics play a role in the development of scalp psoriasis. If you have a family history of psoriasis, you are more likely to develop the condition. Studies have shown that certain genes are associated with an increased risk of developing psoriasis.

Environmental Factors

Environmental factors, such as stress, can trigger scalp psoriasis. Stress can cause the body to produce hormones that can lead to inflammation and an overactive immune system. This can cause the skin cells to grow too quickly, leading to the development of psoriasis.

Infections

Infections, such as strep throat, can also trigger scalp psoriasis. The body’s immune system responds to the infection by producing inflammation, which can lead to the development of psoriasis.

Medications

Certain medications, such as lithium and beta-blockers, can also trigger scalp psoriasis. These medications can cause the body to produce hormones that can lead to inflammation and an overactive immune system.

Diet

Diet can also play a role in the development of scalp psoriasis. Eating a diet high in processed foods and sugar can increase inflammation in the body, which can lead to the development of psoriasis.

Hormones

Hormonal changes, such as those that occur during pregnancy, can also trigger scalp psoriasis. Hormonal changes can cause the body to produce hormones that can lead to inflammation and an overactive immune system.

Getting a Diagnosis

Diagnosis Process

The diagnosis process for scalp psoriasis typically begins with a physical examination. Your doctor will look at your scalp and ask questions about your symptoms. They may also take a skin sample to examine under a microscope. This can help them determine if you have scalp psoriasis or another skin condition.

Your doctor may also order blood tests to rule out other conditions. These tests can help them determine if you have an underlying medical condition that could be causing your scalp psoriasis.

Treatment Options

Once your doctor has diagnosed your scalp psoriasis, they can recommend a treatment plan. Treatment options may include topical medications, light therapy, and oral medications. Your doctor can help you decide which treatment is best for you.

It is important to follow your doctor’s instructions and take all medications as prescribed. This will help you manage your scalp psoriasis and reduce your symptoms.

Questions for Your Doctor

Symptoms

Describe your symptoms to your doctor. Be sure to mention any areas of the scalp that are affected, as well as any itching, burning, or pain. Also, let your doctor know if you have any other skin conditions, such as eczema or seborrheic dermatitis.

Treatment Options

Your doctor may recommend topical treatments, such as corticosteroid creams or ointments, to reduce inflammation and itching. Other treatments, such as light therapy, may also be recommended. Your doctor can discuss the pros and cons of each treatment option and help you decide which one is best for you.

Lifestyle Changes

Your doctor may also suggest lifestyle changes to help manage your scalp psoriasis. These may include avoiding triggers, such as stress, certain foods, and certain hair products. Your doctor may also recommend using a humidifier to help keep your scalp moist. Additionally, your doctor may suggest using a gentle shampoo and avoiding harsh chemicals.

Follow-Up Appointments

Your doctor may recommend follow-up appointments to monitor your progress. During these appointments, your doctor can assess your symptoms and adjust your treatment plan if necessary. It is important to keep all of your follow-up appointments to ensure that your scalp psoriasis is properly managed.

Conclusion

Scalp psoriasis can be uncomfortable and embarrassing, but it is treatable. If you have scalp psoriasis, it is important to talk to your doctor about the best treatment options for you. Be sure to discuss your symptoms, treatment options, lifestyle changes, and follow-up appointments with your doctor. With the right treatment plan, you can manage your scalp psoriasis and get back to living your life.

Treatment

Topical Treatments

Topical treatments are creams, ointments, and shampoos that are applied directly to the scalp. These treatments can help reduce inflammation, itching, and scaling. Common topical treatments for scalp psoriasis include corticosteroids, vitamin D analogues, coal tar, and salicylic acid.

Light Therapy

Light therapy, also known as phototherapy, is a treatment that uses ultraviolet light to reduce inflammation and scaling. It is usually done in a doctor's office or at home with a special light device. Light therapy is often used in combination with topical treatments for maximum effectiveness.

Oral Medications

Oral medications are taken by mouth and can help reduce inflammation and itching. Common oral medications for scalp psoriasis include retinoids, methotrexate, and cyclosporine. These medications can have serious side effects, so it is important to talk to your doctor before starting any oral medication.

Biologics

Biologics are a newer type of medication that is injected or given through an IV. They work by targeting specific parts of the immune system to reduce inflammation and itching. Biologics are usually used when other treatments have not been successful. They can be very effective, but they can also have serious side effects.

Alternative Treatments

There are also a variety of alternative treatments that may help reduce the symptoms of scalp psoriasis. These include herbal remedies, acupuncture, and dietary changes. It is important to talk to your doctor before trying any alternative treatments.

Conclusion

Scalp psoriasis can be a difficult condition to manage, but there are a variety of treatments available to help reduce the symptoms. Topical treatments, light therapy, oral medications, biologics, and alternative treatments can all be used to help manage the symptoms of scalp psoriasis.

Drugs & Medications

Topical Treatments

Topical treatments are applied directly to the scalp and are usually the first line of treatment for scalp psoriasis. These treatments include corticosteroids, vitamin D analogues, coal tar, and salicylic acid. Corticosteroids are the most commonly used topical treatment and can help reduce inflammation and itching. Vitamin D analogues help slow the growth of skin cells, while coal tar and salicylic acid help reduce scaling and itching.

Systemic Treatments

Systemic treatments are taken orally or injected and are used for more severe cases of scalp psoriasis. These treatments include biologics, methotrexate, and cyclosporine. Biologics are a type of protein that helps reduce inflammation and can be used to treat moderate to severe scalp psoriasis. Methotrexate and cyclosporine are both immunosuppressants that help reduce inflammation and can be used to treat severe scalp psoriasis.

Light Therapy

Light therapy, also known as phototherapy, is a type of treatment that uses ultraviolet light to help reduce inflammation and itching. It can be used alone or in combination with other treatments. Common types of light therapy include narrow-band ultraviolet B (UVB) light, excimer laser, and psoralen plus ultraviolet A (PUVA) light.

Alternative Treatments

In addition to traditional treatments, there are also some alternative treatments that may help manage scalp psoriasis. These treatments include aloe vera, tea tree oil, and fish oil. Aloe vera can help reduce inflammation and itching, while tea tree oil can help reduce scaling. Fish oil is rich in omega-3 fatty acids, which can help reduce inflammation.

Conclusion

Scalp psoriasis can be a difficult condition to manage, but there are a variety of treatments available to help. Topical treatments, systemic treatments, light therapy, and alternative treatments can all be used to help reduce inflammation and itching. It is important to talk to your doctor to determine the best treatment for your individual needs.

Diet

What to Eat

A healthy diet for scalp psoriasis should include plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. Eating a variety of nutrient-rich foods can help reduce inflammation and improve overall health.

  • Fruits and vegetables: Aim to eat a variety of colorful fruits and vegetables every day. These foods are packed with vitamins, minerals, and antioxidants that can help reduce inflammation.
  • Whole grains: Choose whole-grain breads, cereals, and pastas instead of refined grains. Whole grains are high in fiber and other nutrients that can help reduce inflammation.
  • Lean proteins: Choose lean proteins such as fish, chicken, and beans. These foods are high in protein and other nutrients that can help reduce inflammation.
  • Healthy fats: Choose healthy fats such as olive oil, nuts, and avocados. These foods are high in healthy fats that can help reduce inflammation.

What to Avoid

Certain foods may trigger inflammation and worsen scalp psoriasis symptoms. It’s important to avoid these foods if you have scalp psoriasis.

  • Processed foods: Avoid processed foods such as chips, cookies, and other packaged snacks. These foods are high in sugar and unhealthy fats that can trigger inflammation.
  • Refined grains: Avoid refined grains such as white bread, white rice, and pasta. These foods are low in fiber and other nutrients that can help reduce inflammation.
  • Sugary drinks: Avoid sugary drinks such as soda, juice, and energy drinks. These drinks are high in sugar and can trigger inflammation.
  • Alcohol: Avoid alcohol if you have scalp psoriasis. Alcohol can trigger inflammation and worsen symptoms.

Conclusion

Eating a healthy diet can help reduce inflammation and improve overall health. It’s important to eat plenty of fruits and vegetables, whole grains, lean proteins, and healthy fats. It’s also important to avoid processed foods, refined grains, sugary drinks, and alcohol. Talk to your doctor or dietitian if you have questions about your diet.

Lifestyle

Keep Your Scalp Clean

It’s important to keep your scalp clean to help reduce the risk of infection and irritation. Gently wash your scalp with a mild shampoo and warm water. Avoid using harsh shampoos or scrubbing too hard, as this can irritate the skin and make symptoms worse. After washing, use a soft towel to pat your scalp dry.

Avoid Stress

Stress can worsen psoriasis symptoms, so it’s important to find ways to manage stress. Try activities like yoga, meditation, or deep breathing to help reduce stress. You can also talk to a therapist or join a support group to help you cope with stress.

Stay Hydrated

Drinking plenty of water can help keep your skin hydrated and reduce the risk of flare-ups. Aim to drink at least 8 glasses of water a day to keep your skin healthy and hydrated.

Protect Your Scalp from the Sun

Exposure to the sun can worsen psoriasis symptoms, so it’s important to protect your scalp from the sun. Wear a hat or scarf when you’re outside to protect your scalp from the sun’s rays. You can also use a sunscreen specifically designed for the scalp.

Eat a Healthy Diet

Eating a healthy diet can help reduce inflammation and improve your overall health. Focus on eating plenty of fruits, vegetables, whole grains, and lean proteins. Avoid processed foods, sugar, and saturated fats, as these can worsen psoriasis symptoms.

See Your Doctor

If lifestyle changes aren’t enough to manage your symptoms, talk to your doctor. They can prescribe medications or other treatments to help reduce inflammation and itching. With the right treatment, you can manage your scalp psoriasis and keep your symptoms under control.