or growth is unknown.
Treatments do not work the same for every patient. Therefore, you may need to try more than one treatment to see a difference. Keep in mind that hair regrowth may only be temporary. Ultimately some patients do not even need treatment since their hair grows back on its own, while others never see improvement despite trying every option. No treatment method is guaranteed.
III. Scalp Psoriasis
Scalp Psoriais can extend beyond the scalp. It can appear on the forehead as shown in the picture on this page. Sometimes, it extends to the back of the neck or appears behind the ears.
Psoriasis can appear anywhere on the scalp. Sometimes a small patch develops, which can be easy to hide with hair. Scalp psoriasis also can cover the entire scalp. When psoriasis appears on the scalp, you may notice:
- Reddish patches on the scalp. Some patches are barely noticeable. Patches also can be very noticeable, thick, and inflamed.
- Dandruff-like flaking and silvery-white scale. Scalp psoriasis can look a lot like dandruff. Many people who have scalp psoriasis see flaking. But there are differences between scalp psoriasis and dandruff. Unlike dandruff, scalp psoriasis causes a silvery sheen and dry scale on the scalp.
- Dry scalp. The scalp may be so dry that the skin cracks and bleeds.
- Itching. This is one of the most common symptoms. For some the itch is mild; others have intense itching that can interfere with everyday life and cause sleepless nights.
- Bleeding. Because scalp psoriasis can be very itchy, almost everyone scratches. Scratching can make the scalp bleed. Scratching also tends to worsen the psoriasis. Scratching can make the patches larger and thicker. This is why dermatologists tell their patients, “Try not to scratch your scalp.”
- Burning sensation or soreness. The scalp can burn. It can feel extremely sore.
Temporary hair loss. Scratching the scalp or using force to remove the scale can cause hair loss. Once the scalp psoriasis clears, hair usually regrows.
Some people get relief from a medicated shampoo or solution. A few of these can be purchased without a prescription.
But scalp psoriasis can be stubborn. Many people see a dermatologist for treatment. A dermatologist can tell you what can help. The following types of treatment can help scalp psoriasis:
- Medicine applied to the scalp.
- Medicated shampoos.
- Scale softeners.
- Light treatments.
- Biologics and other medicines that work throughout the body.