Scalp psoriasis is a chronic skin condition that causes red, itchy, and scaly patches on the scalp. Managing and clearing scalp psoriasis can be challenging, but with the right approach, significant improvement is achievable. Dr. Gary Rothfeld, a board-certified dermatologist in New York, NY, shares his top three tricks for effectively managing and clearing scalp psoriasis.
1. Medicated Shampoos and Topical Treatments
Dr. Rothfeld emphasizes the importance of using medicated shampoos and topical treatments specifically designed for psoriasis. These treatments often contain active ingredients such as coal tar, salicylic acid, or corticosteroids, which help to reduce inflammation and slow down the rapid skin cell turnover associated with psoriasis.
- Coal Tar Shampoos: These help to reduce scaling, itching, and inflammation. They work by slowing down the growth of skin cells and are available in various strengths.
- Salicylic Acid Shampoos: Salicylic acid helps to soften and remove scales, making it easier for other medications to penetrate the skin and work effectively.
- Corticosteroid Solutions: These are often prescribed for more severe cases. They help to reduce inflammation and immune response, providing relief from itching and scaling.
Dr. Rothfeld recommends using these products regularly as directed and combining them for a synergistic effect. For example, a patient might use a salicylic acid shampoo to remove scales followed by a corticosteroid solution to reduce inflammation.
2. Light Therapy (Phototherapy)
Another highly effective treatment that Dr. Rothfeld advocates is light therapy, also known as phototherapy. This involves exposing the skin to ultraviolet (UV) light under medical supervision. UVB light is particularly effective in treating psoriasis as it penetrates the skin and slows the growth of affected skin cells.
- Narrowband UVB Therapy: This is a common and effective form of phototherapy for scalp psoriasis. It involves exposing the scalp to UVB light, which helps to reduce symptoms and promote healing.
- Excimer Laser: This type of phototherapy delivers targeted UVB light to specific areas of the scalp, which can be particularly useful for treating isolated patches of psoriasis.
Dr. Rothfeld notes that phototherapy should be administered under the guidance of a dermatologist to ensure the correct dosage and minimize potential side effects, such as skin irritation or an increased risk of skin cancer.
3. Systemic Medications
For moderate to severe cases of scalp psoriasis that do not respond well to topical treatments or light therapy, Dr. Rothfeld may prescribe systemic medications. These are oral or injectable medications that work throughout the body to reduce inflammation and abnormal skin cell growth.
- Methotrexate: This oral medication helps to suppress the immune system and slow down the rapid turnover of skin cells. It is often used for severe psoriasis.
- Biologics: These are newer, injectable medications that target specific parts of the immune system involved in psoriasis. Examples include adalimumab (Humira), etanercept (Enbrel), and ustekinumab (Stelara).
- Cyclosporine: This oral medication suppresses the immune system and is often used for severe, stubborn cases of psoriasis.
Dr. Rothfeld advises that systemic medications should be used under strict medical supervision due to their potential side effects and the need for regular monitoring.
Additional Tips for Managing Scalp Psoriasis
- Moisturize Regularly: Keeping the scalp moisturized helps to reduce dryness and flaking. Dr. Rothfeld recommends using fragrance-free, hypoallergenic moisturizers.
- Avoid Triggers: Identify and avoid triggers that can worsen psoriasis, such as stress, smoking, and certain medications.
- Healthy Lifestyle: Maintain a balanced diet, exercise regularly, and manage stress levels to improve overall health and potentially reduce psoriasis flare-ups.
By combining these approaches, patients can effectively manage and clear scalp psoriasis. Dr. Gary Rothfeld's expertise highlights that with consistent and targeted treatment, significant relief and improvement are within reach. Always consult with a dermatologist to tailor a treatment plan that best suits your individual needs.
