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On darker skin, the patches may be purple and the scales gray. It can be a single patch or several, and can even affect your entire scalp. It can also spread to your forehead, the back of your neck, and behind and inside your ears. On the whole, it’s important that you speak with your doctor about any symptoms you’re experiencing. A dermatologist can provide a proper diagnosis, and select a personalized treatment that will help restore health to you hair and scalp.
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To work, these treatments must be put on your scalp, not just your hair. Follow the directions exactly until your skin heals, which can take 8 weeks or more. Once your psoriasis has cleared, you can help keep it from coming back by shampooing regularly or twice weekly with a product that has coal tar or other medications. But it can also be severe, last a long time, and cause thick, crusted sores. Intense itching can affect your sleep and everyday life, and scratching a lot can lead to skin infections and hair loss. There likely isn’t one complete cause, but a combination of catalysts.
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Some people say to use this on your scalp a few times a week. It’s long been used as a disinfectant, so it may burn a bit when you put it on. Some people like to use it full-strength and then rinse once it dries. It may take a few weeks to notice a difference in itchiness.
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Since these medications can cause serious side effects, including liver damage, they require a doctor’s close watch. It's also important to know that oral vitamin derivatives are different from -- and more powerful than -- vitamin supplements bought over the counter. Salicylic acid is a peeling agent available in over-the-counter (OTC) and prescription shampoos and soaps. If you have a severe allergy, you could have a serious reaction within minutes called anaphylaxis. A few warning signs include swelling of the eyes, lips, and feet; swelling of the mouth, tongue, or throat; and feeling lightheaded or faint. If you have an epinephrine autoinjector, use it, then call 911.
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Because steroids can cause skin thinning, they’re used for only two to four weeks before a break is needed. Coal tar is most commonly recommended to help reduce inflammation. Tar, however, can irritate skin and make it more sensitive to sunlight. Salicylic acid is effective at softening and removing psoriasis scales, often in combination with other treatments. Side effects can include skin irritation or temporary hair loss.
Scratching increases irritation and further causes hair to fall out. Learn the causes of hair loss with psoriasis, how to prevent it, and more. Some you take as a shot, while others you receive through an IV. They suppress the overactive part of the immune system that drives psoriasis. There are also oral systemic medications such as deucravacitinib (Sotyktu) and roflumilast (Otezla).
Coloring, perming, or relaxing your hair may make you feel better but can also worsen symptoms. One member who stopped coloring said, “It was suffocating my hair and adding to the problem! ” Another asked their hairdresser to use foils during hair coloring so the dye didn’t touch their scalp. According to Gelfand et al (2005), the prevalence of all psoriasis was 1.3% in black patients compared to 2.5% in white patients, which is probably linked to genetics. Psoriasis is estimated to affect 2% of the population worldwide and can occur at any age.
However, it can be generally well managed with treatment. You can’t spread scalp psoriasis to another person through skin-to-skin contact. About half of the estimated 7.5 million Americans with psoriasis -- which can affect any skin surface -- have it on their scalp. Sometimes the scalp is the only place they have it, but that’s uncommon. Anyone can have a skin reaction to hair dye, even when the product is natural. But one common ingredient, paraphenylenediamine (PPD), seems to be the culprit in most hair dye reactions.
Scalp psoriasis may result from an overactive immune system, genetics, and environmental factors. Treatments may include OTC shampoos, prescription medications, and at-home remedies. If your scalp psoriasis becomes infected, you may have crusting, discoloration, warmth, tenderness, and sometimes swelling of your lymph nodes. Ultraviolet (UV) light -- sometimes delivered with a handheld device called a UV comb -- can be used to treat the entire scalp. Hair can block the light from reaching your scalp, so if you have thick hair, it may help to part it in rows.
There are many things to consider when deciding on psoriasis therapy. For example, some treatments are only appropriate for people with moderate or severe psoriasis but not for those with mild symptoms. Some treatments might work particularly well for specific, less common forms of psoriasis. Most often, the scales of psoriasis look thicker and drier than the scales of seborrheic dermatitis. And psoriasis usually affects more than one area of the body. If you have scalp psoriasis, you may have mild psoriasis on your elbows, knees or lower back too.
Applying organic apple cider vinegar directly to the scalp may help reduce the itchiness. In fact, this is usually the first approach, according to the National Psoriasis Foundation. Inverse psoriasis causes smooth patches of inflamed skin in the folds of the skin. It usually appears under the breasts and around the groin and buttocks. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox.
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