Scalp Psoriasis
Please remember scalp Psoriasis does not cause permanent balding.
It may lead to a temporary hair shedding in the psoriatic patches. However, upon remission, the hair grow back in those plaques.
When planning a scalp to scalp HT, it’s prudent to first treat any Psoriatic patches.
Psoriatic patches, most commonly, develop in the back of the scalp (donor area), though may occur as discrete patches in almost any part of the scalp.
Treatment of psoriasis in the scalp presents its own unique problems.
1. The hair covering the psoriatic plaques, prevent adequate sun exposure. Sunlight exposure, in form of UV light, is a known treatment for Psoriasis.
2. The presence of hair make application of many topicals difficult and messy.
3. Scalp psoriasis may be overlapped by seborrhoeic dermatitis.
Scalp care -
Keeping the above things in mind, the following is a suggested scalp care regimen.
1. Go for a buzz cut, if possible. That will help by more UV exposure to the affected area and will make application of topicals easier.
2. Coal tar and Ketoconazole shampoos. Remember that medicated shampoos need to be massaged into the scalp and left in for a longer time. We recommend that you wet your hair first, apply the shampoo and leave it on for 10 minutes before rinsing it off.
Coal tar shampoos are sufficient for starting treatment for most scalp psoriasis patients. Ketoconazole can be added if the psoriasis is accompanied with seborrhoeic dermatitis (also called Sebo-psoriasis) and/or fungal infections.
Use these shampoos twice a week. For people who do not like the smell of these medicated shampoos, post bath, they can shampoo again with a non medicated shampoo of their choice, followed by a conditioner. That should take care of the smell issue.
For those suffering from more severe psoriasis, use of topicals may be required.
Topicals may be in form of steroids (Diprovate lotion is easier to apply as it is alcohol based instead of cream/oil base) can be used to alleviate the itching. Prolonged use of steroids should, however, be avoided. Its best to use them intermittently.
Coal tar creams, salicylic acid creams and Coconut oil compound ointment are more effective (though messy). Apply these creams by rubbing them into the plaques. Wait for 1 hour and then shampoo them out. Or, apply them before bedtime and leave them overnight. Wash the next day.
Resistant or difficult to treat psoriatic patches may require Dithranol,
Calcipotriol, phototherapy and oral medications.
Please remember that all treatments mentioned above must be taken under proper medical supervision.
It’s best to go for a hair transplant procedure once the psoriasis is under control.
Regards,
Dr. A
www.fusehair.com
Facebook @DR.AClinic
Instagram @drasclinic
Twitter @DrAsClinic1
Youtube @hairtransplantcentre
blogspot @hairrestorationeducation
Tumblr @drarvindposwal
Please remember scalp Psoriasis does not cause permanent balding.
It may lead to a temporary hair shedding in the psoriatic patches. However, upon remission, the hair grow back in those plaques.
When planning a scalp to scalp HT, it’s prudent to first treat any Psoriatic patches.
Psoriatic patches, most commonly, develop in the back of the scalp (donor area), though may occur as discrete patches in almost any part of the scalp.
Treatment of psoriasis in the scalp presents its own unique problems.
1. The hair covering the psoriatic plaques, prevent adequate sun exposure. Sunlight exposure, in form of UV light, is a known treatment for Psoriasis.
2. The presence of hair make application of many topicals difficult and messy.
3. Scalp psoriasis may be overlapped by seborrhoeic dermatitis.
Scalp care -
Keeping the above things in mind, the following is a suggested scalp care regimen.
1. Go for a buzz cut, if possible. That will help by more UV exposure to the affected area and will make application of topicals easier.
2. Coal tar and Ketoconazole shampoos. Remember that medicated shampoos need to be massaged into the scalp and left in for a longer time. We recommend that you wet your hair first, apply the shampoo and leave it on for 10 minutes before rinsing it off.
Coal tar shampoos are sufficient for starting treatment for most scalp psoriasis patients. Ketoconazole can be added if the psoriasis is accompanied with seborrhoeic dermatitis (also called Sebo-psoriasis) and/or fungal infections.
Use these shampoos twice a week. For people who do not like the smell of these medicated shampoos, post bath, they can shampoo again with a non medicated shampoo of their choice, followed by a conditioner. That should take care of the smell issue.
For those suffering from more severe psoriasis, use of topicals may be required.
Topicals may be in form of steroids (Diprovate lotion is easier to apply as it is alcohol based instead of cream/oil base) can be used to alleviate the itching. Prolonged use of steroids should, however, be avoided. Its best to use them intermittently.
Coal tar creams, salicylic acid creams and Coconut oil compound ointment are more effective (though messy). Apply these creams by rubbing them into the plaques. Wait for 1 hour and then shampoo them out. Or, apply them before bedtime and leave them overnight. Wash the next day.
Resistant or difficult to treat psoriatic patches may require Dithranol,
Calcipotriol, phototherapy and oral medications.
Please remember that all treatments mentioned above must be taken under proper medical supervision.
It’s best to go for a hair transplant procedure once the psoriasis is under control.
Regards,
Dr. A
www.fusehair.com
Facebook @DR.AClinic
Instagram @drasclinic
Twitter @DrAsClinic1
Youtube @hairtransplantcentre
blogspot @hairrestorationeducation
Tumblr @drarvindposwal
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