Scalp psoriasis, similar to psoriasis elsewhere, will respond to a similar range of topical therapy although the presence of hair makes treatment more difficult. Application is messy. For thick plaques on the scalp topical therapies include oil of cade, "ung. cocois,'' and combinations of coal tar and salicylic acid (such as 6% coal tar and 3% salicylic acid), all of which are effective at removing scale and settling inflammation. These preparations may be applied to the scalp and left on overnight before being washed out in the morning with a tar-based shampoo. Patients should be warned to use old pillowcases or towels, or to wear a showercap to protect bedding. Other more cosmetically acceptable preparations include calcipotriene scalp solution (Dovonex), 0.025% fluocinolone acetonide gel (Synalar gel), and 0.1% betamethasone valerate (Betnovate scalp application). Various tar-based shampoos can be used to reduce mild inflammation and scaling.
Was this article helpful?
Do You Suffer From the Itching and Scaling of Psoriasis? Or the Chronic Agony of Psoriatic Arthritis? If so you are not ALONE! A whopping three percent of the world’s populations suffer from either condition! An incredible 56 million working hours are lost every year by psoriasis sufferers according to the National Psoriasis Foundation.