Steroid medications may be injected into scalp lesions that are mild and appear in few areas. The first step in treating scalp psoriasis effectively involves removing or lifting thick scales, which helps medication penetrate the plaques and clear them up. However, severe flares may require the use of oral medications in conjunction with such topical treatments. Scalp psoriasis is characterised by thick silvery-white scale over well-defined red thickened skin. In very severe cases there may be some temporary mild localised hair loss, but scalp psoriasis does not cause permanent balding. Topical treatment for scalp psoriasis in adults, young people and children. If you find it difficult or cannot use corticosteroids on your scalp or you have mild to moderate scalp psoriasis, your healthcare professional may instead offer you a vitamin D preparation alone. Tar shampoo alone is not recommended for treatment of severe scalp psoriasis (ie where there is thick scaling and redness).
Scalp psoriasis involves thick scales and redness that appear around the scalp, normally becoming itchy and inflamed. The normal treatment options include shampoo that can be use at home, but severe scalp psoriasis normally has to be treated by a dermatologist, who may prescribe steroid creams or salicylic acid. If it spreads to your face moisturise very well each day and seek dermatologist for treatment using UVB phototherapy or a mild topical steroid cream though use of steroid creams on face is not usually desired due to risk of skin atrophy and other effects. Pustular Psoriasis: Painful and severe form of psoriasis, with pus-filled sacs in the psoriasis plaques that can break. Mild to moderate psoriasis is initially treated with a low to mid-potency corticosteroid cream, lotion, spray or ointment – such as triamcinolone (Kenalog), mometasone (Elocon), or hydrocortisone (Westcort, OTC products). Lotions or foams are best for the scalp, creams are best for oozing lesions, and ointments can treat dry, raised, or scaly lesions. Fig 1 presents the treatment algorithm for severe scalp psoriasis.
Oral medications and biologics may help to clear scalp psoriasis, but are only appropriate for moderate to severe cases. These drugs are potent and have side effects that must be considered before taking. A topical treatment is any kind of medicine that can be rubbed into the skin. A doctor can either prescribe more potent tar products or weaker formulas can be bought over the counter and work well on scalp psoriasis. It is often used on patients with moderate to severe psoriasis and is often combined with topical treatments.