Hair Psoriasis

Hair Psoriasis: Causes, Symptoms, and Treatment

Hair psoriasis, also known as scalp psoriasis, is a chronic autoimmune skin condition that causes red, scaly patches on the scalp. It can range from mild flaking (often mistaken for dandruff) to severe thick, crusted plaques that extend beyond the hairline. While it is not contagious, it can be uncomfortable, itchy, and even painful. Understanding its causes, symptoms, and treatment options can help manage the condition effectively.

What Causes Hair Psoriasis?

Hair psoriasis occurs when the immune system mistakenly attacks healthy skin cells, causing rapid skin cell turnover. This leads to the buildup of thick, scaly patches on the scalp. The exact cause is unknown, but several factors can trigger or worsen psoriasis:

• Genetics – Family history plays a role.
• Stress – Emotional or physical stress can trigger flare-ups.
• Infections – Strep throat or other infections can worsen symptoms.
• Cold Weather – Dry, cold air can make psoriasis worse.
• Hormonal Changes – Puberty, pregnancy, or menopause can trigger symptoms.
• Medications – Certain drugs like beta-blockers and lithium may contribute.

Symptoms of Hair Psoriasis

Hair psoriasis symptoms vary from person to person but commonly include:

1. Red patches on the scalp, sometimes extending to the forehead, neck, or ears.
2. Silvery-white scales that resemble dandruff but are thicker.
3. Itching, burning, or soreness of the scalp.
4. Dryness and flaking, often more intense than regular dandruff.
5. Temporary hair loss due to scratching, inflammation, or excessive scaling.

Note: Hair psoriasis itself does not cause permanent hair loss, but excessive scratching, harsh treatments, or stress can lead to temporary hair shedding.

How is Hair Psoriasis Different from Dandruff?

If over-the-counter dandruff shampoos don’t work, and you notice thick plaques, inflammation, or persistent itching, you may have hair psoriasis instead of dandruff.

Treatment Options for Hair Psoriasis

Hair psoriasis has no cure, but treatments can help control symptoms and reduce flare-ups.

1. Medicated Shampoos & Topical Treatments

Coal Tar & Salicylic Acid Shampoos – Help remove scales and reduce redness.
Topical Steroids (Corticosteroids) – Reduce inflammation and itching.
Vitamin D Analogues (Calcipotriol) – Slows down skin cell growth.

2. Phototherapy (Light Therapy)

UVB Light Therapy – Helps slow excessive skin cell growth.
Excimer Laser – Targets psoriasis plaques with focused UVB rays.

3. Oral & Injectable Medications

Biologics (e.g., Adalimumab, Etanercept) – Target the immune system response.
Methotrexate & Cyclosporine – Suppress the immune system to reduce symptoms.

4. Home Remedies & Lifestyle Changes

Coconut Oil & Olive Oil – Soften scales and soothe the scalp.
Aloe Vera Gel – Has anti-inflammatory properties to reduce itching.
Apple Cider Vinegar Rinse – Helps relieve itching and flaking.
Stress Management – Yoga, meditation, and exercise can help reduce flare-ups.

When to See a Dermatologist?

1. If home treatments aren’t working and symptoms worsen or spread, consult a dermatologist.
2. Persistent itching, scaling, or discomfort affecting daily life needs medical intervention.
3. If hair loss occurs, getting early treatment can prevent further shedding.

Healthy Scalp, Healthy Hair!