Are There Complications Of Psoriasis
In some people, psoriasis causes more than itchiness and red skin. It can lead to swollen joints and arthritis. If you have psoriasis, you may be at higher risk of:
- Use medicated shampoo for scales on your scalp.
Other steps you should take to stay as healthy as possible:
- Talk to your healthcare provider about lowering your risk for related conditions, such as heart disease, depression and diabetes.
- Lower your stress with meditation, exercise or seeing a mental health professional.
How To Cure Scalp Psoriasis Permanently
Because scalp psoriasis is a chronic condition, there is no cure. For this reason, it can be tempting to delay seeing a doctor. However, in the following cases or situations, its highly advisable that you consult your doctor for advice:
- You notice a red, cracked or irritated skin in a new area
- You are still scratching or the itchiness gets worse
- Youre planning on going on holiday
- You develop swollen, painful or stiff joints
How Do Health Care Professionals Diagnose Scalp Psoriasis
The fact that the scalp is a hair-bearing area in most people produces challenges in diagnosis as well as treatment. If scaling plaques are present on portions of the body in a distribution characteristic of psoriasis, then the diagnosis of the scalp disease is much easier to make.
The most important consideration in treating scalp psoriasis is getting an effective medication into the skin. Both the hair and any scale covering the disease act as an impediment to treatment. Removal of the scale in a nontraumatic fashion is very important. This can be accomplished by shampooing frequently. Using tar, selenium, or salicylic acid-containing shampoos can be helpful. This may have to be done at least twice a day initially if the scale is sufficiently thick. Gently rubbing off the scale with the fingertips and not the nails is important.
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What Treatments Might Your Doctor Recommend For Scalp Psoriasis
You should definitely consult your doctor or dermatologist to find the right treatment â and there are plenty they might suggest:
1. Medicines applied to the skin
These treatments aim to soothe and reduce irritation and inhibit the skin cell turnover. Corticosteroids are prescribed most commonly.
2. UV light therapy
Controlled use of UV light can help to stop the problem cells from multiplying as quickly.
3. Steroid injections
This treatment is usually only for mild scalp psoriasis and is administered by a doctor.
4. Oral or injected medication
For severe scalp psoriasis, your doctor might prescribe drugs to be taken by mouth or by injection. These medications include corticosteroids and cyclosporine.
Scalp psoriasis doesnât have a cure, but with the right treatment it can be managed and kept under control so if you think you have the condition, make sure to see your doctor or dermatologist.
How Can Parents Help
For some children, psoriasis is just a minor inconvenience. For others, it is a difficult medical condition.
To manage symptoms and make outbreaks less likely, your child should:
- Wash hands well and often and stay away from people who are sick to prevent infections.
- Manage stress through exercise, yoga, or meditation.
- Not smoke or drink alcohol.
- Keep a healthy weight. People who are overweight tend to have more severe psoriasis symptoms.
Kids and teens with psoriasis may feel uncomfortable with the way their skin looks. Help your child understand that psoriasis is common and treatments can help.
Whether your child’s psoriasis is mild or severe, learn about the condition together. Offer to help find a therapist or join a support group if that might help. Talk to your doctor or check websites like:
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Tablets Capsules And Injections
If your psoriasis is severe or other treatments have not worked, you may be prescribed systemic treatments by a specialist. Systemic treatments work throughout the entire body.
These medications can be very effective in treating psoriasis, but they all have potentially serious side effects. All the systemic treatments for psoriasis have benefits and risks. Before starting treatment, talk to your doctor about your treatment options and any risks associated with them.
If you’re planning for a baby, become pregnant or are thinking of breastfeeding, you should also speak to your doctor first before taking any new medicine to check it’s suitable for use during pregnancy or breastfeeding.
There are 2 main types of systemic treatment, called non-biological and biological .
Treatments Designed With Hair In Mind
In recent years, pharmaceutical companies have worked not just on making scalp psoriasis treatments more effective, but on making them easier and more pleasant to apply.
This gives health care providers and patients options that now include shampoos, lotions, creams, sprays, gels, foams/mousses, and ointments. For more severe scalp psoriasis or when it also appears elsewhere on the body, there are also daily pills, occasional injections, and periodic infusions available that are effective on the scalp. UV light therapy is also appropriate in select cases .
A brief introduction to the many options follows, so you can make the most of your doctor visits and get on track to improve the condition of your scalp and give you a sense of peace that scalp psoriasis so often disrupts.
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How Is Psoriasis Treated
Psoriasis is usually treated by a dermatologist . A rheumatologist may also help with treatment. Treatments can include:
- ultraviolet light from the sun or from home or office treatments. But in some children, sunlight can make psoriasis worse.
- creams, lotions, ointments, and shampoos such as moisturizers, corticosteroids, vitamin D creams, and shampoos made with salicylic acid or coal tar
- medicines taken by mouth or injected medicines
A doctor might try one therapy and then switch to another, or recommend combining treatments. It’s not always easy to find a therapy that works, and sometimes what works for a time stops helping after a while.
Turn Up With Turmeric
Another noted anti-inflammatory and skin soother, a daily turmeric supplement can help treat psoriasis .
If youd rather not take a turmeric pill, you can add the spice directly to your food. Whether you enjoy a turmeric latte or a delicious curry, there are lots of turmeric recipes to try to help your skin.
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Calcipotriol + Corticosteroids: A Powerful Combination
Simultaneous use of calcipotriol and corticosteroids has been found to be more effective than either therapy alone, and the combination appears to minimize the side effects of both. The combination works as quickly as the faster acting corticosteroid component, producing good results in about four weeks.
Combination products are available in a variety of formulations, though they can be far more expensive than some of the generic steroids that are available.
One option when cost is a factor is to be prescribed the two products separately and use them, for example, on alternating days. Some doctors, noting that the combination products are only modestly more effective, and recognizing that complexity in a treatment regimen reduces compliance, simply start off with a topical corticosteroid for scalp psoriasis.
What Else Should I Ask My Healthcare Provider
If you have psoriasis, ask your healthcare provider:
- How can I prevent outbreaks and control symptoms?
- What medication will work best for me?
- What else should I do to improve symptoms?
- What are my options if creams dont work?
- Will psoriasis ever go away?
A note from Cleveland Clinic
Psoriasis, an itchy skin condition, can come and go throughout your life. Its related to an overactive immune response and is not contagious. If you have skin changes that arent going away, talk to your healthcare provider. There is no cure for psoriasis, but psoriasis treatments can improve symptoms. Your provider may prescribe a special cream or moisturizer or medications. Other therapies are available if creams or medicines dont work. Maintaining your overall health will also help improve symptoms.
Last reviewed by a Cleveland Clinic medical professional on 10/17/2020.
References
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Unwind With Lavender And Calendula
Not many antimicrobial and anti-inflammatory agents are known for helping you relax, but thats the magic of lavender essential oil. You can also add calendula oil to the mix , along with a carrier oil, and apply directly to the scalp.
Just remember to only add a few drops of essential oil to each tablespoon of carrier oil you use, and do a patch test first to make sure you dont have a sensitivity to those particular oils.
Some potential carrier oils:
- avocado oil
- jojoba oil
Sadly the science here is still a little lacking, so make sure to do your homework and chat with a derm before oiling up.
Another option that doesnt involve topical application: Since stress makes psoriasis flares worse, you can sit in a quiet room with dim lighting, some lavender oil in the diffuser, and just chilllll. This may not affect your psoriasis in the short term, but it could help the flare go away faster. And, bonus points for caring for your mental health.
How To Naturally Manage Dry & Inflamed Scalp Psoriasis
Have you ever noticed scaly red patches on your scalp? If so, you may be among the 2 to 3% of Americans with psoriasis, an autoimmune disorder that presents itself on the skin, as well as in the joints. And if you’ve ever experienced this type of flare-up on the scalp, you know it can be quite the challenge to learn how to live with it, while not allowing it to control your every hair move. We consulted with experts to get the lowdown on scalp psoriasis and the natural remedies you can take to help manage your condition.
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Steroid Creams For Scalp Psoriasis
Steroid creams also called topical corticosteroids are used to treat moderate and severe cases of scalp psoriasis. Effective steroid creams for scalp psoriasis include:
Steroid creams for scalp psoriasis work by reducing inflammation. This slows down signals from the immune system telling the body to produce more skin cells, which, in turn, reduces itching.
Because they are topical corticosteroids, steroid creams for scalp psoriasis should only be prescribed by a doctor or licensed pharmacist prescriber.
How To Treat Scalp Psoriasis At Home
Its important to note that home remedies can help ease symptoms but theyre not proven cures. The following home treatments are generally safe and may help you reduce the symptoms of mild to moderate scalp psoriasis. Those with more aggressive forms of the condition should consult a doctor before starting home treatment.
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Skin Care For The Face And Scalp May Help In Resisting The Urge To Itch Scratch And Pick
To a person suffering from psoriasis, this may feel impossible. A psoriasis flare-up can be very uncomfortable. However, responding to the irritation disrupts the skin on the body and makes it harder to heal. Lotions and topical creams can occasionally help calm the itchy sensations. They typically work best for people who have fewer areas of psoriasis on their body. These should be applied right after bathing or showering, when skin is ready to soak up the moisture. Something with salicylic, glycolic or lactic acid can usually help prevent future outbreaks. Patients should speak with a doctor about the right brands to avoid any further irritation to the skin.
What Does Scalp Psoriasis Look Like
It can be challenging to decipher the difference between standard-variety dry scalp, dandruff, and psoriasis. According to trichologist Eva Proudman, it’s best to visit an expert for an accurate diagnosis, but there are some telltale signs to self-diagnose at-home.
For starters, if you’re experiencing a scalp that feels tight and itchy with small, dry flakes of skin in the hair and your hair is dryer than normal, you most likely have a dry scalp. If you see flakes that are small white or gray scales that fall onto your clothes, but your scalp looks and feels oily, chances are you’re dealing with dandruff.
Now if you’ve checked those two boxes off the list and you’re still wondering if you have scalp psoriasis, Proudman suggests checking for circular, uniform areas of darker, redder skin that is visibly a different color from the rest of your scalp. If these patches are covered with dry, whitish-silver scales and cannot be easily removed, that is a sign of psoriasis. This is especially true if you remove the scales and see bleeding points on the scalp.
“Sufferers of scalp psoriasis report itching, tight uncomfortable scalp sensations, and often the knees and shins are also affected,” Proudman says. Bottom line: Psoriasis patches are attached to the scalp and often raised with a rough texture. It’s not flaky or loose and often has scales that aren’t easy to remove.
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Limit Your Use Of Styling Tools
Be gentle when styling your hair, in order to avoid irritating the scalp. “It is best to avoid tight hair styles, as pulling too tight on the scalp can lead to irritation,” says Garshick. “Additionally, curling irons, rollers, coloring, perming or relaxing your hair should be limitedespecially if there is an active flareas these can be irritating on the scalp.”
If you’re concerned about concealing plaques, Green suggests “a low pony with added texture to hide irritation at the nape of your neck. You can add volume to down-dos by gently teasing strands at the root to conceal any scaliness behind the ears. If the hairline is typically your trouble zone, full or side-swept bangs can help hide redness.”
Witch Hazel For Scalp Psoriasis
Image: Shutterstock
What You Have To Do
How Often You Should Do This
Do this once a week.
Why This Works
The antifungal properties of this powder that is commonly used for baking cakes can help reduce the intensity of the psoriasis patches. It can reduce the inflammation at the affected sites as well .
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Keep The Air Around The Home Or Office Moist
Speaking of moisture, using a humidifier can help with scalp psoriasis. When the air is dry, a person’s skin is also most likely to be dry so keeping some moisture and humidity in the air can help avoid outbreak-triggering dryness.
What Are The Types Of Psoriasis
In children, common types of psoriasis include:
Plaque psoriasis. This is the most common type of psoriasis. It causes plaques and silvery scales, usually on the knees, elbows, lower back, and scalp. They can be itchy and painful and may crack and bleed.
Guttate psoriasis. This type often shows up after an illness, especially strep throat. It causes small red spots, usually on the trunk, arms, and legs. Spots also can appear on the face, scalp, and ears.
Inverse psoriasis. This causes smooth, raw-looking patches of red skin that feel sore. The patches develop in places where skin touches skin, such as the armpits, buttocks, upper eyelids, groin and genitals, or under a woman’s breasts.
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How Common Is Scalp Psoriasis
It is common and approximately half of all people with psoriasis also have it on their scalp. The reason it deserves special mention is that it can be more difficult to treat and usually requires specifically formulated treatments.
Psoriasis on the scalp forms in the same way as on other parts of the body but the hair traps the scale and so it does not rub away as it would, for instance, on the elbow. The result is that the scale can quickly build up, causing a thicker plaque which becomes more difficult to treat . This difficulty is compounded by the hair, which acts as a physical barrier obstructing the easy application of creams and ointments to the affected skin. Children can get scalp psoriasis too. Treatments will be much the same as those used for adults. On rare occasions, scalp psoriasis has been known to disappear spontaneously, but it can remain on the scalp for lengthy periods of time too.
Scalp Psoriasis Tips Resource Launched
On the second day of Psoriasis Awareness Week, we’re focusing on scalp psoriasis. The scalp is one of the areas of the body which is most commonly affected by psoriasis.
Scalp psoriasis can be persistent, itchy and uncomfortable, while trying to treat the scalp through the hair can be tricky. There are many different treatment options available but finding the right one can be a process of trial and error.
With the help of dermatology specialist nurse, Julie VanOnselen, we’ve put together some tips to helpyou manage and treat your scalp psoriasis.
There are pointers for caring for your scalp, tips for applying treatments to the scalp, and also some handy suggestions for trips to the hairdresser too.
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What Are Office Treatments For Scalp Psoriasis
Rarely, it may be of benefit to inject triamcinolone acetonide directly into psoriatic plaques. Aside from the pain involved, the benefit only lasts about six weeks at best. Ultraviolet light in wavelengths near 313 nm is effective in psoriasis. The hair, however, can pose a barrier to effective administration unless it is removed or sparse. The excimer laser produces out laser light in these UV wavelengths also and can be of benefit if the amount of scalp involvement is limited.