Understanding Common Hair Conditions: Causes and How to Fix Them PART 3

Scalp Psoriasis

Scalp psoriasis manifests as thick, crusty patches of skin covered with silvery-white scales. It can affect small areas or cover the entire scalp and may even extend to the forehead, back of the neck, or around the ears. The condition can range from mild (slight scaling) to severe (thick plaques and intense itching).

Causes:

• Immune System Issues: The immune system speeds up the production of skin cells, leading to buildup.
• Genetics: A Family history of psoriasis increases your risk.
• Triggers: Stress, infections, or scalp injuries can worsen flare-ups.
• Lifestyle Factors: Smoking and alcohol can contribute to the condition.

How to Manage and Treat Scalp Psoriasis

Managing scalp psoriasis requires a combination of lifestyle changes, medical treatments, and gentle hair care practices.

Tropical treatments

1. Topical Treatments

• Medicated Shampoos: Use shampoos containing salicylic acid, coal tar, or ketoconazole to reduce scaling and inflammation.
• Steroid-Based Creams: Corticosteroid creams and lotions can quickly reduce inflammation and itching.
• Vitamin D Analogues: These creams (like calcipotriol) slow down skin cell production and are often used with steroids.
• Coal Tar Products: Coal tar reduces scaling and inflammation, but it may have a strong smell.

2. Phototherapy

• UV Light Therapy: Exposing the scalp to controlled amounts of ultraviolet (UV) light can slow down the rapid growth of skin cells. This treatment can be done in a clinical setting or using a hand-held UV comb.

3. Oral or Injectable Medications

• For severe cases, systemic medications like methotrexate, cyclosporine, or biologics (e.g., adalimumab, etanercept) may be prescribed. These work by suppressing the immune system to reduce flare-ups.

4. Scalp Care Practices

• Gentle Washing: Avoid harsh shampoos or over-washing, which can irritate the scalp further.
• Avoid Scratching: Scratching can worsen inflammation and lead to hair loss.
• Moisturize: Use a lightweight scalp moisturizer to keep your skin hydrated and reduce dryness.

5. Lifestyle Changes

• Healthy Diet: Incorporate anti-inflammatory foods like fatty fish, leafy greens, and fruits rich in antioxidants.
• Stress Management: Practice stress-reducing techniques like yoga, meditation, or deep breathing.
• Avoid Triggers: Identify and minimize triggers such as harsh hair products, smoking, or poor sleep.