Scalp psoriasis is the most common reason of temporary hair loss, which occurs because of inflammation and itching, but permanent hair loss due to scarring is rare. Scalp psoriasis develops thick, scaly plaques that not only inflame the skin, but also damage hair follicles and thus make them hairy by a resting phase called telogen effluvium. There is a large body of research that shows that up to 80% of people with psoriasis become alopecia patients, with patchy hair loss on the scalp during the disease period.
The major reason for loss is the itching of the skin and the scratching. Hair is pulled out by the scratches and the hair follicles are injured. Scratches also break hair and stress caused by psoriasis makes hair loss even more.
-Along the hairline, silvery scales and red patches may be seen
-Cheerful scratching or burning
-The hair thinning in the plaque areas, which becomes more visible during flares
Topicals: Coal tar or salicylic acid shampoo is used to soften the scales; steroid lotion is used to reduce the inflammation.
Medicated shampoos: Vitamin D analogs such as calcipotriene not only help to calm the plaques but also maintain hair strength.
Systemic options: When the case is very serious, biologics or oral drugs will be the means to get to the root of the inflammation for faster regrowth.
Do not indulge in harsh picking works—be sure to wash and moisturize your hair to keep the follicles safe from damage.
|
Treatment |
How It Helps |
Best For |
|
Shampoos (coal tar) |
Loosens scales, reduces itch |
|
|
Topicals (steroids) |
Cuts inflammation fast |
|
|
Biologics |
Stops follicle damage |
In brief, scalp psoriasis causes hair loss that is limited to irritation and the loss of hair that comes along with it, not direct destruction of the follicles, i.e. if treated in time, scalp hair will be recovered in most cases.