Psoriasis Scalp Treatment

Scalp psoriasis requires slightly different regimes from psoriasis affecting the skin elsewhere. This is due to hair, which makes application of many topical products difficult and protects the scalp from the effects of ultraviolet light. Unfortunately, many scalp treatments for scalp psoriasis are messy and smelly. Most treatments will need to be used regularly for several weeks before a benefit is seen.
Special medicated shampoos can be purchased from the chemist.
Coal tar shampoos are suitable for most patients with scalp psoriasis
Ketoconazole shampoo is effective for dandruff, seborrhoeic dermatitis and sebopsoriasis
The shampoos work best if rubbed into the scalp well, and left in for 5 or 10 minutes and then reapplied. They are safe for daily use but may irritate if applied more than twice weekly. If you dislike the smell of coal tar, try shampooing again with a favourite brand, and use a conditioner.
More severe cases require leave-on scalp applications.
Alcohol-based topical steroid and calcipotriol lotions can reduce itch but don't lift scale very well. Use topical steroids intermittently; overuse results in more extensive and severe psoriasis.
Salicylic acid and coal tar creams work much better, but are messy. Coconut compound ointment is a combination of coal tar, salicylic acid and sulphur and seems particularly effective. Leave on for at least an hour and shampoo off later. Most people rub the cream into the plaques at night and wash it off in the morning.
Use the scalp preparation daily at first then as the condition improves, reduce the frequency. Unfortunately in many cases the scale soon builds up again, so the creams may have to be applied regularly to keep the scalp clear.
Cutting hair short helps control scalp psoriasis, probably by making the treatments easier to apply, but is not appealing to everyone.

Pustular Psoriasis

In visualizing a picture of pustualr psoriasis; picture a large red area covered with yellow-green pustules. The pustules tend to be one to two millimeters in diameter and are quite tender. The yellow color is caused by masses of white blood cells (polymorph leucocytes), which flood into any part of the skin that is damaged or infected, in order to fight infection and aid recovery.

After seven to 10 days, the pustules become dispersed and a brown scale appears. This scale will start to shed as new pustules develop in other areas, often in a continuous cycle.The most common type of pustular psoriasis affects the palms and soles. It isn't normally itchy however it can be sore or uncomfortable to use either your hands or feet, for example if you are writing or walking.

Generalized pustular psoriasis is marked by a general reddening and inflammation of the skin with sheets of small pustules merging into larger sheets. This is a serious and potentially life-threatening illness that can severely disrupt the skin’s function.

Generalized pustular psoriasis which is spread over wide areas of the body is also called von Zumbusch pustular psoriasis, named after the physician who first described it in the early 1900s. In this relatively rare form of the disease, widespread areas of reddened skin (erythema) develop, and the skin becomes acutely painful and tender. Pustules—blisters of non-infectious pus—may appear on the skin, dry, then reappear in repeated cycles lasting several days.

Some Thoughts on the Cause of Psoriasis

Researchers believe the immune system sends faulty signals that speed up the growth cycle in skin cells. Certain people carry genes that make them more likely to develop psoriasis, but not everyone with these genes develops psoriasis. Instead, a "trigger" makes the psoriasis appear in those who have these genes. Also, some triggers may work together to cause an outbreak of psoriasis; this makes it difficult to identify individual factors.Possible psoriasis triggers include: emotional stress; injury to the skin; some types of infection; reaction to certain drugs. Once the disease is triggered, the skin cells pile up on the surface of the body faster than normal. In people without psoriasis, skin cells mature and are shed about every 28 days. In psoriatic skin, the skin cells move rapidly up to the surface of the skin over three to six days. The body can't shed the skin cells fast enough and this process results in patches also called "lesions" forming on the skin's surface.

What is Psoriasis?

Psoriasis is a chronic scaling skin. It may range from just a few spots anywhere on the body to large areas of involvement. It is not contagious or spread able from one part of the body to another or from one person to another. There is no blood test to diagnose psoriasis. The diagnosis is made by observation and examination of the skin. Sometimes microscopic examination of the skin (biopsy) is helpful where the changes are not typical or characteristic. The exact cause of psoriasis is unknown, but hereditary and genetic factors are important. Psoriasis runs in families. This does not mean, however, that every child of a parent with psoriasis will develop psoriasis, but it is common that somewhere down the line psoriasis will appear in families. Psoriasis is not caused by allergies, infections, dietary deficiencies or excesses, or nervous tension.

The Psoriasis Lifestyle Control Picture

It is important to treat psoriasis in as many ways as possible: those who modify their lifestyles, eating habits and reduce their level of stress often experience a much greater degree of psoriasis clearing. While you try to treat the symptoms of the skin (psoriasis) that are most visible and distressing, you should try treating the cause! If we find and treat the cause, then maybe all the symptoms of psoriasis need not occur! Good health for your skin as well as your entire body may require a permanent lifestyle change that will reward you with a longer life and more beautiful skin to wear during those extra years.

The Occurrence of Inverse Psoriasis

Inverse psoriasis is characterized by smooth inflamed lesions in the body folds -- armpits, under the breast, skin folds of the groin, buttocks, and genitals. Large, dry, smooth, vividly red plaques occur in the folds of the skin near the genitals, under the breasts, or in the armpits. Inverse psoriasis is related to increased sensitivity to friction and sweating and may be painful or itchy.