What is the most effective treatment for scalp psoriasis?

1. What is scalp psoriasis?

Scalp psoriasis is a common form of psoriasis that affects the skin under the hair. It manifests as red, thick, and scaly patches that can extend to the forehead, nape of the neck, or behind the ears. These patches are often accompanied by intense itching, tightness, and sometimes pain. Approximately 50% of people with psoriasis experience symptoms on the scalp.

This form of psoriasis can significantly impact quality of life, causing aesthetic discomfort, daily inconvenience, and a decrease in self-confidence. Key triggers include stress, infections, and skin trauma (Koebner phenomenon). To learn more about the causes of psoriasis, see our article "Scalp Psoriasis Triggers and How to Avoid Them."

2. What does scalp psoriasis look like?

The most common symptoms are:

• Thick, scaly patches: These are often covered with white or silvery scales visible between the hairs.

• Redness: Inflamed areas may extend beyond the hairline.

• Itching and discomfort: Sometimes accompanied by pain, especially when the patches become thick.

• Temporary hair loss: Due to excessive scratching or inflammation, loss is usually reversible once psoriasis is controlled.

This type of psoriasis can be mistaken for severe dandruff, but the thick patches and silvery scales help differentiate it. Find our tips for distinguishing psoriasis from dandruff in our article "Dandruff or Psoriasis: How to Tell the Difference?"

3. What are the most effective treatments for scalp psoriasis?

Adapted topical treatments

Topical treatments are essential for effectively managing scalp psoriasis:

• Salicylic acid: This exfoliating ingredient removes scales and softens thick patches. MakeMyMask's Anti-Pso Concentrate, available here, combines this keratolytic action with deep hydration thanks to hyaluronic acid.

• Corticosteroids: Effective in reducing inflammation, they should be used under medical supervision due to the risk of long-term side effects.

• Vitamin D derivatives: Calcipotriol helps regulate skin cell proliferation and reduces patches.

Natural and dermo-cosmetic care

Many people prefer natural solutions to avoid the side effects of medicinal treatments:

• MakeMyMask's Anti-Pso Concentrate: This natural and innovative treatment combines salicylic acid, hyaluronic acid, and jojoba oil for soothing, exfoliating, and moisturizing action. Dermatologically tested, it is free of corticosteroids and controversial ingredients.

• Natural oils: Jojoba oil and aloe vera are also known for their soothing and moisturizing properties.

Adapted hair routine

A specific hair routine is crucial to minimize irritation and prevent psoriasis flare-ups:

• Use mild shampoos with a slightly acidic pH (pH 5): This helps preserve the hydrolipidic film of the scalp while reducing irritation. DermoPilaire MakeMyMask's mild pH5 shampoo, available here, is an excellent choice for this routine.

• Apply targeted after-shampoo treatments, such as MakeMyMask's Anti-Pso Concentrate, to gently exfoliate and deeply moisturize.

• Avoid aggressive products: Hair dyes and styling sprays should be limited, especially during flare-ups.

To learn more about a soothing hair routine, see our article "How to Treat an Irritated Scalp?"

Phototherapy

Phototherapy, using UVB rays, is an effective complementary option for reducing inflammation, although it is more difficult to apply to the scalp.

Systemic treatments

In severe or resistant cases, systemic treatments such as biotherapies may be considered. They target underlying inflammatory mechanisms to reduce symptoms throughout the body.

Conclusion

Scalp psoriasis can be effectively controlled with appropriate care and a well-defined routine. Natural products like MakeMyMask's Anti-Pso Concentrate and DermoPilaire's mild pH5 shampoo offer a gentle and effective solution without corticosteroids. Adopting respectful care and integrating a regular routine not only reduces symptoms but also prevents relapses. To discover more tips, explore our article "How to Treat Psoriasis Naturally?"