Scalp Psoriasis is a chronic condition characterized by inflamed, red, raised areas that often develop on scalp with thick silvery white scales. Psoriasis is a persistent, long-lasting disease with periods of improvement and exacerbation. Scalp psoriasis may occur in isolation or in conjunction with other forms of psoriasis. The age of onset, chronicity, physical, and psychosocial consequences of the disease cause psoriasis to have a significant impact on patient quality of life.
In many cases, scalp psoriasis is associated with intense itching, and white scale is commonly shed as dandruff creating significant social embarrassment for affected individuals.
Since the condition is easily confused with dandruff (due to white - yellow scales on the scalp in both scalp psoriasis and dandruff patients ) it is always recommended to get the condition evaluated at the earliest and get treated for the same. Few patients present with features of both seborrhic dermatitis and psoriasis together . This is termed as Sebopsoriasis.
Symptoms of Scalp Psoriasis
- Red, thickened plaques with silver-white scales, either within the hairline, or extending onto the forehead, ears, and posterior neck.
- Small scaling spots.
- Dry, itchy, cracked scalp that may bleed on scratching.
- Thickened, pitted or ridged nails. In severe cases, the nails may also begin to crumble or detach from the nail bed.
- Scalp psoriasis can also result in alopecia. This is commonly reversible with appropriate treatment. But recurrent and untreated episodes can lead to scarring alopecia ( sort of permanent baldness)
- Swollen, stiff and painful joins.
The exact cause of psoriasis is still not known to anybody in the world. Research is still going on to understand more and more about the disease and its pathogenesis at microscopic levels. There are numerous hypothesis regarding the causes though, none of them are proved .
Hence, Its a complex interaction of few factors which include
- Genetic factors
- Defective innate and adaptive immunity
- Environmental factors (Trauma, stress, smoking & alcohol, infections)
- Numerous drugs (Beta blockers, lithium, Anti malarials, NSAIDS, Tetracyclins etc)
Psoriasis basically affects the life cycle of skin cells. It causes cells to multiply abnormally fast .This leads to their accumulation on the surface of skin & scalp which is seen as white scales.
Psoriasis is not contagious. You wont get psoriasis by touching another person with psoriasis or swimming in the same pool or by eating from the same plate or anything like that.
Successful management is dependent on a number of factors including patient education, choice of therapeutics, and adherence to treatment course.
Depending on the severity of lesion, treatment can be just topical medications, topical plus oral systemic medications , with or with out Narrow Band Ultra Violet - B (NB-UVB) and Excimer LASERs.
Ample therapeutic options are available to bring remission in psoriasis and when properly selected, in most cases the lesions clear up in couple of months. Maintenance therapy is equally important.
Doctor's in 4 Senses Clinic will properly diagnose the condition and treat the same with utmost care after explaining its results. For Doctor’s Appointment Contact Call:6366494494