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dermatologistsnyc.com (212)-644-9494 Psoriasis: Scalp Psoriasis: Scalp Eighty percent of people with psoriasis will have it appear on their scalp some time during their lives. Some people will have psoriasis appear only on the scalp. Scalp psoriasis leads to red, irritated areas with silvery-white scales that flake off into the hair or onto the shoulders. Scalp psoriasis can extend to the forehead, back of the neck, and around the ears. Severe cases of scalp psoriasis can lead to hair loss. However, the American Academy of Dermatology reports that the hair loss results from the accompanying scratching, psoriasis treatments, forceful removal of scales, and stress of the disease rather than the psoriasis itself. Scalp psoriasis is treatable. Over-the-counter products containing tar, including shampoos, gels, and lotions, will sufficiently treat mild scalp psoriasis, as well as prevent new outbreaks. However, tar can leave dark stains, so be sure to protect clothes and bedding. For scalp psoriasis that doesn’t respond to mild treatments, topical steroids may be recommended. Solutions and foam formulations can make it easier to apply the medication to the skin beneath the hair. Because scale-covered plaques can interfere with absorption of these topical medications, some doctors recommend therapies to help remove the scales, such as salicylic acid. Warming the scalp and applying oils, lotions, or creams will also loosen the scales, making them easy to remove with gentle …