Psoriasis can manifest anywhere on the skin. When it occurs on the scalp, it is referred to as scalp psoriasis. Sometimes a small patch develops, which can be easy to hide with hair. However, it can spread beyond the scalp to the forehead, the back of the neck or behind the ears.
Scalp psoriasis often appears as:
- 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.”
Treating psoriasis on the scalp may require a different approach. The skin on the scalp is thicker, and hair can obstruct treatment. If you have scalp psoriasis, hair care can make a difference. Scalp psoriasis makes your scalp dry and easily irritated, so you want to be gentle when styling your hair. We recommend the following general advice:
- Brushing and combing: Be gentle when brushing and combing. Scratching or scraping your scalp with a brush or comb can cause a psoriasis flare on your scalp.
- Rollers and curling irons: Take care when using these and limit how often you use them. Avoid pulling on your hair. Prevent hot rollers and curling irons from touching your scalp. The heat can irritate or burn your scalp, which could cause a psoriasis flare.
- Tight hairstyles: Avoid these. Pulling too tightly on the hair can irritate the scalp, causing psoriasis to flare. Over time, it can also cause hair loss.
In summary, if eczema is something your baby deals with there are steps you can take to help alleviate their discomfort. By dressing them in soft, breathable and loose-fitting clothing you can help decrease the risk that their clothing is contributing to the condition. If a baby’s eczema is severe or causing distress, consult a doctor for treatment and skin care advice.
The information presented in this blog is for informational purposes only and should not be taken as medical advice. If you have questions or concerns, please call our office or make an appointment with a medical professional. Savannah River Dermatology is located at 575 Furys Ferry Rd in Augusta, Ga. Our office can be reached at 706-691-7079.
