Treatment for Scalp Psoriasis: What you need to know

Scalp psoriasis affects over half of those who suffer from psoriasis. Essentially it is just where a flare up of psoriasis occurs on the scalp; however the usual treatments for psoriasis are difficult to apply to this area.

Will it come back?

As with most forms of psoriasis, scalp psoriasis can come and go. For some it may disappear completely and others it may come back after a period of remission. Treatments for scalp psoriasis are effective, and the symptoms should be cleared after a few weeks of treatment.

How do I manage it?

Scalp psoriasis can often be managed at home with medicated shampoos and conditioners. There are many specially formulated shampoos on the market that are mild enough not to cause aggravation, and medicated to help sooth and soften the plaque. These shampoos help to soften the scale ready for removal, and can be used even after symptoms have passed to keep your scalp healthy.

When do I go to the doctor?

If your scalp is covered with thick scale, or you are not noticing any effects from a medicated shampoo, then consult your GP. He may arrange a visit to a specialist dermatologist, or prescribe a different sort of treatment.

What will be prescribed?

Coal tar is often prescribed, however many report the unpleasant smell makes it difficult to use. Steroid based creams can also be prescribed – however there are side effects associated with the use of steroids. Vitamin D based treatments are another option, as is phototherapy (although this is more often used more on legions on the body than the scalp).

What can I do about falling scales?

Other than treatment, another issue facing suffers of scalp psoriasis is the scale, which can leave flakes on clothes. Wearing lighter coloured clothes can help to conceal the fallen scale, and regular brushing should remove the loose scale from the hair.

Is it safe to brush and comb?

Brushing or combing is essential to remove the loose scale. Take care not to scratch the scalp, however.

What about going to the hairdresser?

Dying the hair or other cosmetic hair treatments should be fine, although it is always best to consult a hairdresser first. Chemical such as dyes or relaxants should only be applied if the scalp is scratch free, as the chemicals are known irritants.

If you are uncomfortable about visiting a hairdresser, call the salon and explain the situation, or perhaps find a hairdresser that does home visits. Many hairdressers will have experience of the condition, and have access to the latest information.

Losing hair?

Sometimes psoriasis of the scalp can lead to localised hair loss, but this will return once the flare up has eased.

Not working?

Treatments will often take a while to take effect – often this will be weeks not days. Always read the labels on your products for guidelines of when you should start to see an improvement. Keep a note of when you start treatments so you can report back to your doctor if you are not finding your symptoms improved.