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Scalp Psoriasis: What It Looks Like and How To Treat It

Scalp psoriasis is a common and often frustrating skin condition that affects millions of people worldwide. It can cause discomfort, embarrassment, and sometimes even hair loss if left untreated. Understanding what scalp psoriasis looks like and knowing how to treat it effectively can help manage symptoms and improve quality of life.

This guide will help you recognize scalp psoriasis, explore treatment options, and provide helpful tips for managing the condition.

What is Scalp Psoriasis?

Scalp psoriasis is a chronic autoimmune skin condition where the body’s immune system causes skin cells to grow too quickly. This rapid buildup leads to thick, scaly patches that can appear on the scalp, hairline, forehead, and even behind the ears.

According to the National Psoriasis Foundation, about 7.5 million people in the United States have psoriasis — and up to 50% of them will experience scalp psoriasis at some point.

How to Know if You Have Scalp Psoriasis

Scalp psoriasis often gets mistaken for dandruff or other scalp conditions, but there are key signs that can help identify it.

Common Signs of Scalp Psoriasis:
  • Reddish patches on the scalp
  • Silvery-white scales or flakes
  • Dry scalp with thick crusted plaques
  • Itching or burning sensation
  • Flaking that looks like dandruff but doesn’t improve with regular shampoos
  • Hair thinning or temporary hair loss (due to scratching or inflammation)
  • Soreness or bleeding if scales are picked

The condition can range from mild flaking to severe thick patches that cover large areas of the scalp.

Effective Treatments for Scalp Psoriasis

While scalp psoriasis cannot be cured, it can be managed with the right treatment plan. Treatments are often tailored based on the severity of the condition.

Topical Treatments

Topical medications are usually the first step in treating scalp psoriasis.

Common Options Include:

  • Medicated Shampoos – Shampoos containing coal tar or salicylic acid can help soften scales and reduce flaking.
  • Topical Corticosteroids – Prescription-strength steroid lotions, gels, or foams reduce inflammation and itching.
  • Vitamin D Analogues – Such as calcipotriene, which helps slow skin cell growth.
  • Coal Tar Preparations – Helps reduce scaling and itching (available in shampoos or ointments).
Medical Treatments

For moderate to severe scalp psoriasis, a doctor may recommend:

  • Phototherapy – Controlled exposure to UV light can help reduce symptoms.
  • Systemic Medications – Oral or injectable medications that target the immune system, like methotrexate or cyclosporine.
  • Biologic Drugs – Advanced medications that target specific immune responses. Biologics like Humira, Stelara, or Skyrizi may be prescribed for severe cases.
Natural Remedies

Some people find relief from scalp psoriasis with natural remedies, although these should be used alongside medical treatments and with guidance from a healthcare professional.

Popular Natural Options Include:

  • Aloe Vera Gel – Soothes and hydrates the scalp.
  • Coconut Oil or Olive Oil – Helps loosen scales and moisturizes the scalp.
  • Apple Cider Vinegar – Diluted with water, it may relieve itching (avoid if the skin is cracked).
  • Tea Tree Oil – Known for anti-inflammatory properties but should be used carefully as it can irritate sensitive skin.
  • Oatmeal Baths or Compresses – Can help soothe itching and irritation.

Tips for Managing Scalp Psoriasis at Home

  • Avoid scratching, which can worsen inflammation and lead to infection.
  • Use gentle, fragrance-free shampoos.
  • Keep your scalp moisturized.
  • Follow treatment routines consistently for best results.
  • Be patient — treatments often take several weeks to show improvement.
  • Work with a dermatologist for a personalized care plan.

When to See a Doctor

You should consult a healthcare provider or dermatologist if:

  • Your scalp psoriasis covers a large area or is worsening.
  • Over-the-counter treatments are not helping.
  • You experience severe itching, pain, or bleeding.
  • The condition is affecting your quality of life or causing hair loss.

A dermatologist can confirm the diagnosis and recommend treatments best suited for your symptoms and lifestyle.

Conclusion

Scalp psoriasis is a common and manageable condition that affects millions of people. Recognizing the signs early and using effective treatments — whether topical, medical, or natural — can help reduce flare-ups and keep symptoms under control.

With the right approach and consistent care, living with scalp psoriasis can become much more manageable, allowing you to focus on comfort, confidence, and maintaining a healthy scalp.

Sources

National Psoriasis Foundation – https://www.psoriasis.org

Mayo Clinic – https://www.mayoclinic.org

American Academy of Dermatology – https://www.aad.org

Cleveland Clinic – https://my.clevelandclinic.org

Healthline – https://www.healthline.com