Wellness Workshop | Scalp Psoriasis | Harley A. Haynes, MD
Dr. Harley Haynes is a dermatologist practicing in Boston, MA. Dr. Haynes specializes in skin care. Dermatologists evaluate and manage both common and uncommon skin conditions. These conditions include acne, psoriasis, warts, skin infections, atopic dermatitis, herpes simplex and more. Dermatologists are also experts in... more
Scalp Psoriasis
Scalp psoriasis is a persistent autoimmune disorder that accelerates skin cell production, leading to inflamed, scaly patches on the scalp and nearby areas. Though not contagious, it can be uncomfortable and impact daily life. Understanding its symptoms, causes, and treatment strategies can help in effective management.
Symptoms
Scalp psoriasis can present in varying degrees of severity. Common signs include raised, discolored plaques covered with silvery scales, itching, flaking, dryness, and, in some cases, pain or bleeding. The affected areas may extend beyond the scalp, reaching the hairline, forehead, neck, and ears.
Causes
This condition stems from an overactive immune response that accelerates skin cell turnover, resulting in inflammation. While the precise cause remains unclear, genetic predisposition, immune system irregularities, and environmental factors play a role. Certain triggers, including stress, smoking, obesity, and medications, can worsen symptoms.
Diagnosis
A dermatologist typically diagnoses scalp psoriasis through a visual inspection, but in some cases, a biopsy may be performed to confirm the condition and rule out similar skin disorders. Assessing the severity helps determine the best treatment approach.
Treatment Options
Managing scalp psoriasis focuses on reducing inflammation, easing symptoms, and controlling skin cell overgrowth. Treatments may include:
- Topical Medications: Corticosteroids, coal tar, salicylic acid, and vitamin D analogs help reduce scaling and inflammation.
- Phototherapy: Medically supervised ultraviolet (UV) light therapy can regulate immune system activity and improve symptoms.
- Systemic Treatments: For severe cases, oral medications or biologics may be prescribed to target immune dysfunction.
- Lifestyle Adjustments: Reducing stress, avoiding smoking and excessive alcohol intake, and following a balanced diet can help minimize flare-ups and support skin health.
With proper treatment and lifestyle modifications, individuals with scalp psoriasis can effectively manage symptoms and improve their quality of life.
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