Scalp psoriasis is a common but often frustrating skin condition that causes itching, flaking, and discomfort. It results from an overactive immune response that leads to rapid skin cell turnover. While scalp psoriasis can be persistent, there are various treatments — including prescription medications and over-the-counter options — that can help manage symptoms and reduce flare-ups.
What is Scalp Psoriasis?
Scalp psoriasis is a type of psoriasis that specifically affects the skin on the scalp. Psoriasis is a chronic inflammatory condition that causes skin cells to multiply too quickly, leading to the buildup of thick, scaly patches. It is characterized by periods of flare-ups and remission.
When psoriasis affects the scalp, it can be particularly troublesome due to the presence of hair, which makes it challenging to apply treatment. The condition can range from mild, with small patches, to severe, where large portions of the scalp are affected.
Symptoms of Scalp Psoriasis

The symptoms of scalp psoriasis can vary, but common signs include:
- Red, inflamed patches of skin: These patches are often covered with silvery scales.
- Itching: This can be severe and can lead to discomfort.
- Flaking: Dead skin cells can fall off the scalp, leading to visible flakes.
- Dryness: The scalp may feel tight or dry.
Causes of Scalp Psoriasis
The exact cause of scalp psoriasis is unknown, but it is thought to be related to an overactive immune system. This overactivity causes the skin cells to multiply rapidly, resulting in the buildup of psoriasis plaques. Genetics and environmental triggers (such as stress, infections, or injury to the scalp) can also contribute to flare-ups.
Treatment Options for Scalp Psoriasis
Managing scalp psoriasis often requires a combination of treatments tailored to the severity of the condition. Common treatments include:
- Topical Treatments: These may include corticosteroid creams, vitamin D analogs, or coal tar shampoos.
- Medications: Prescription options such as biologics or oral treatments may be used for severe cases.
- Scalp Care: Regularly using gentle shampoos, avoiding harsh hair products, and moisturizing the scalp can help alleviate symptoms.
Conclusion
Scalp psoriasis can be uncomfortable, but with proper treatment and management, many people can experience significant relief. It’s essential to work closely with a healthcare provider to find the most effective treatment options tailored to your needs.
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