Managing and Coping with Scalp Psoriasis

Bianca Piraccini^*
*Correspondence: Bianca Piraccini, Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, 40126 Bologna, Italy, Email:

Introduction

Scalp psoriasis is a common skin condition that affects millions of people worldwide. It is a chronic autoimmune disease that causes skin cells to grow too quickly, resulting in the development of thick, scaly patches on the scalp. These patches can be itchy, painful and embarrassing and they can also lead to hair loss if left untreated. In this article, we will explore the causes, symptoms and treatment options for scalp psoriasis and discuss ways to manage and cope with this chronic condition [1].

Description

Causes of scalp Psoriasis

The exact cause of scalp psoriasis is not known, but it is believed to be a combination of genetic and environmental factors. Researchers have found that people with a family history of psoriasis are more likely to develop the condition, suggesting that there may be a genetic component involved. Additionally, certain environmental factors, such as stress, cold weather and skin injuries, can trigger flare-ups in people who are predisposed to scalp psoriasis [2-5].

Symptoms of scalp Psoriasis

The symptoms of scalp psoriasis can vary from person to person, but some common signs and symptoms include:

1. Red patches on the scalp

2. Thick, scaly patches on the scalp

3. Itching, burning, or soreness on the scalp

4. Flaking or scaling of the scalp

5. Hair loss or thinning on the scalp

6. Crusting or bleeding of the scalp

If you are experiencing any of these symptoms, it is important to see a dermatologist or healthcare provider for a proper diagnosis and treatment plan.

Treatment options for scalp Psoriasis

There is no cure for scalp psoriasis, but there are several treatment options available that can help manage symptoms and prevent flare-ups. Some common treatment options include:

1. Topical Medications: Topical corticosteroids and vitamin D analogues are commonly prescribed to reduce inflammation and control the growth of skin cells. These medications can be applied directly to the scalp and are available in various strengths and formulations.

2. Phototherapy: Light therapy involves exposing the scalp to ultraviolet (UV) light to slow down the growth of skin cells and reduce inflammation. This treatment is typically administered in a dermatologist's office, but home phototherapy units are also available with a prescription.

3. Systemic Medications: If scalp psoriasis is severe or resistant to other treatments, systemic medications may be prescribed. These medications are taken orally or injected and work by suppressing the immune system to reduce inflammation and slow down the growth of skin cells.

4. Alternative Therapies: Some people with scalp psoriasis find relief with alternative therapies such as acupuncture, herbal remedies, or dietary supplements. However, it is important to discuss these options with a healthcare provider before trying them.

In addition to medical treatments, there are several things you can do to manage and cope with scalp psoriasis. Some tips include:

1. Moisturize: Keeping the scalp moisturized can help reduce itching and flaking. Use a non-irritating, fragrance-free moisturizer or oil to keep the scalp hydrated.

2. Avoid Triggers: Identify and avoid triggers that can cause flare-ups, such as stress, cold weather and skin injuries. If you cannot avoid a trigger, try to minimize its effects by practicing stress-reducing techniques or wearing protective clothing.

3. Practice Good Hair Care: Use a gentle shampoo and conditioner to avoid irritating the scalp and avoid harsh styling products that can cause further damage. Gently comb or brush the hair to remove any scales or flakes.

Conclusion

Scalp psoriasis is a chronic autoimmune disease that can cause discomfort, embarrassment and hair loss for those who suffer from it. While there is no cure, there are several treatment options available to manage symptoms and prevent flare-ups. It is important to work with a dermatologist or healthcare provider to develop a personalized treatment plan and to take steps to manage and cope with the condition on a daily basis. With proper care and management, people with scalp psoriasis can lead full and healthy lives.

Acknowledgement

None.

Conflict of Interest

No conflict of interest.

References

1. Caputo, Valerio, Claudia Strafella, Andrea Termine and Annunziata Dattola, et al. "Overview of the molecular determinants contributing to the expression of Psoriasis and Psoriatic Arthritis phenotypes." Journal of Cellular and Molecular Medicine 24 (2020): 13554-13563.

Google Scholar, Crossref, Indexed at

2. Mastorino, Luca, Caterina Cariti, Sara Susca and Nadia Sciamarrelli, et al. "Tildrakizumab in real-life shows good efficacy in moderate-to-severe psoriasis regardless of previous use of biologic drugs and joint involvement." Dermatologic therapy 35 (2022): e15818.

Google Scholar, Crossref, Indexed at

3. Lanna, Caterina, Mara Mancini, Roberta Gaziano and Maria Vittoria Cannizzaro, et al. "Skin immunity and its dysregulation in psoriasis." Cell Cycle 18 (2019): 2581-2589.

Google Scholar, Crossref, Indexed at

4. Ghamrawi, R.I., N. Ghiam and J.J. Wu. "Comparison of psoriasis guidelines for use of IL-23 inhibitors in the United States and United Kingdom: A critical appraisal and comprehensive review." Journal of Dermatological Treatment 33 (2022): 1252-1256.

Google Scholar, Crossref, Indexed at

5. Galluzzo, Marco, Marina Talamonti, Arnaldo Cioni and Virginia Maffei, et al. "Efficacy of tildrakizumab for the treatment of difficult-to-treat areas: Scalp, nail, palmoplantar and genital psoriasis." Journal of Clinical Medicine 11 (2022): 2631.

Google Scholar, Crossref, Indexed at