Scalp Psoriasis
Psoriasis is a chronic autoimmune condition that causes skin cells to build up too quickly, leading to inflammation and flaky, scaly patches. While it can appear anywhere on the body, the scalp is one of the most common and often most challenging areas affected.
Scalp psoriasis can cause redness, itching, burning, flaking, along the hairline, forehead, neck, and ears. Because of the sensitivity of the scalp and the presence of hair, applying treatments can be difficult and may take time to get used to.
At UI Health, our Dermatology team understands how frustrating and persistent scalp psoriasis can be. We’re here to help you manage symptoms and find a treatment plan that works for you.
Common Signs & Symptoms
Scalp psoriasis can impact anyone, but it most frequently appears in adults. Symptoms may range from mild to severe and can include:
- Bleeding (especially if the scalp is scratched)
- Burning or pain
- Dryness or flaking (which may look like dandruff)
- Itching or irritation
- Plaques (raised, scaly areas that may appear red, silver, gray, brown, or purple depending on your skin tone)
- Red, purple, or discolored patches
When to Seek Care
If your scalp symptoms are getting worse, interfering with daily life, or not improving with over-the-counter treatments, it’s time to see a dermatologist.
You should reach out if you experience:
- Hair loss or bleeding from scratching
- Widespread redness, pain, or swelling
- Signs of infections (warmth, pus, or tenderness)
- Symptoms of depression or anxiety related to your skin
At UI Health, our dermatology team is here to help you find relief and create a treatment plan that works for you.
Scalp-Specific Treatment Approaches
Scalp psoriasis can be harder to treat, due to hair coverage and sensitivity. Many patients benefit from biologic therapies, especially when symptoms are moderate to severe. Other treatments may also help, depending on your needs.
- Biologic Therapies
- Injectable medications that target the immune system and are often used for hard-to-treat widespread scalp psoriasis.
- Topical Steroids
- Prescription liquids or foams that reduce redness and itching, easier to apply on the scalp than creams or ointments.
- Medicated Shampoos
- Special shampoos can help reduce flaking, itching, and scale buildup on the scalp.
- Phototherapy (Light Therapy)
- UV light treatments that slow skin cell growth, though they can be less effective if hair blocks the light.
Your dermatologist will work with you to create a plan that fits your symptoms, lifestyle, and goals.
Application Tips & Daily Care
Applying treatments to the scalp can be tricky, especially with hair in the way. The goal of topical medications is to soften scales and reduce inflammation, but to work effectively, they need to reach the skin.
- Section your hair to expose the affected areas as much as possible before applying treatments.
- Apply medication directly to the skin, not the hair. Using nozzles, droppers, or sprays can help with precision.
- Be patient. Application can take time, but careful use gives the treatment the best chance to work.
- Follow your dermatologist’s instructions for how often to apply your medication.
Contact Us
Call 312.996.8666 to request an appointment with one of our dermatologists.
If you are concerned that you are at risk for skin cancer and would like to make an appointment for a screening and examination, please call 312.996.0106.
