Identifying Scalp Psoriasis

• dryness
• flaking that resembles dandruff
• itching, burning, or discomfort
• raised reddish patches
• silvery-like scales
• bleeding or temporary hair loss from scratching or removing the plaques on the scalp

• neck
• ears
• forehead
• other parts of the face

Topical treatments

• corticosteroids (either topical or locally injected)
• vitamin D derivatives such as calcipotriene
• retinoids
• coal tar shampoo
• anthralin
• salicylates

Systemic and biologic treatments

• tumor necrosis factor-alpha (TNF-alpha)
• interleukin 17-A
• interleukins 12 and 23

Phototherapy treatments

Self-care tips

• Follow your doctor’s instructions. Always follow the treatment plan you develop with your doctor. If treatments stop working or you notice any joint pain, let them know.
• Avoid scratching or picking. Scalp psoriasis is different than common dandruff. There may be large and silvery scales. The scales must be carefully removed. Don’t scratch or pick them.
• Combing and brushing. Scalp psoriasis can also make combing or brushing difficult. Be careful combing or brushing your hair, because it can irritate your scalp. You can use a comb to gently remove scales. Clean the comb before each use to help prevent infection, and talk with your doctor about any adverse effects.

• Bleeding. Scalp psoriasis can cause itching and discomfort. Bleeding may occur from scratching or removing scales.
• Hair loss. The effect on hair follicles, heavy scaling, and excessive scratching can cause noticeable hair loss. Entire clumps of hair may also come out when the scalp is damaged. Certain scalp psoriasis treatments and stress may make hair loss worse.