Whenpsoriasisaffects the scalp, it causes thick, silvery-white or gray scales that may be inflamed and itchy.

In psoriasis, the scalp is the most commonly affected area.

While there is no cure for psoriasis, it is treatable and manageable.

An image of a man with scalp psoriasis

Sergey Dogadin/ Getty Images

Sergey Dogadin/ Getty Images

Symptoms

Scalp psoriasis causes scaly, inflamed skin patches on the scalp.

Some people with scalp psoriasis may experience only mild, fine scaling.

Others may have more severe symptoms.

A person with psoriasis on their scalp

Reproduced with permission from ©DermNet NZ and © Waikato Hospitalwww.dermnetnz.org2023

But scratching, picking at scaly areas, harsh treatments, and stress can lead to hair loss.

Inflammation from scalp psoriasis can also weaken your hair’s roots and cause them to be fragile.

Scalp psoriasis may present differently in different skin tones.

Scalp psoriasis

DermNet / CC BY-NC-ND

Scaly patches may itch or feel sore.

You may feel a burning sensation.The itch may be intense, affect sleep, and interrupt daily activities.

The underlying mechanisms are not yet fully understood.It is not a contagious condition.

Psoriasis on the scalp pictures

wisely / Getty Images

While scalp psoriasis cancause similar symptoms to dandruff, it is a much more serious condition.

Scalp psoriasis outbreaks can be painful, while dandruff mainly causes itch.

The most significant distinction between dandruff and scalp psoriasis is that psoriasis is an autoimmune disease.

Scalp Psoriasis vs. Seborrheic Dermatitis

Scalp psoriasis and seborrheic dermatitiscan present with similar symptoms.

Scalp psoriasis is a persistent and difficult-to-treat condition.

OTC topicals for treating scalp psoriasis may include:

Some people also use home remedies.

Prescription treatments for scalp psoriasis may include:

Does Scalp Psoriasis Ever Go Away?

you’re able to alsoreduce flaresby avoiding triggers that would lead to them.

Scratching

When you scratch psoriasis scales, the scales can separate and bleed.

The safest way to remove scales is with treatments that contain salicylic acid to decrease the thickness of scales.

Corticosteroid topicals can help you manage itch so you do not feel like you oughta scratch.

Summary

Scalp psoriasis is an autoimmune skin condition that causes scaly, inflamed patches.

The cause is unknown, but researchers think genetics and other risk factors might be involved.

Treatment for psoriasis includes OTC topical medicines, prescription topicals, corticosteroids, biologics, and light therapy.

They can examine the scalp and run tests to diagnose psoriasis or another cause.

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