The Itchy Truth About Scalp Psoriasis

Tuesday, August 12, 2025

An adult female standing being a young female, doing her hair.

What is scalp psoriasis?

Scalp psoriasis is a chronic skin condition that occurs when skin cells in our scalp replicate too quickly, causing dead cells to form red, scaly patches on the scalp and surrounding skin.

While psoriasis can develop at any age, it most commonly affects adults, and though psoriasis may flare up and subside over time, for most people, it remains a long-term condition that requires ongoing management.

Treating Scalp Psoriasis

Psoriasis is believed to result from a combination of genetic factors and environmental triggers. While your genetic makeup can make you more prone to developing psoriasis, external factors like stress, skin injuries, infections, or certain medications can trigger flare-ups.

Headshot of Dr. Sheryl Hoyer
Sheryl Hoyer, MD
Dermatology

“Don’t feel like you need to drive yourself crazy searching for the cause of your scalp psoriasis,” UI Health dermatologist Dr. Sheryl Hoyer cautioned. “Although stress can trigger flare ups, and smoking and alcohol use can worse them, the main cause of psoriasis is in our genes, which unfortunately, is not in our control.”

Thankfully, there are several treatment options available for managing scalp psoriasis. These include topical treatments like medicated shampoos or steroid creams, oral medications, biologic therapies, and light therapy. A dermatologist can help tailor a treatment plan to suit your specific needs and ensure the best possible results.

“We know scalp psoriasis is trickier than meets the eye. For example, applying a topical treatment to a hair-bearing area can be difficult.” Dr. Hoyer said. “These are the kind of factors we consider when prescribing a treatment, and there are many times that we decide to go in a different treatment direction as a result. We work with our patients to make the decision that will be best for them and their lives.”

But managing scalp psoriasis goes beyond just medication. Incorporating self-care and lifestyle changes can help patients better manage their symptoms. Eating a balanced diet, staying active, practicing meditation, enjoying soothing baths, moisturizing consistently, and building a support network are all ways to strengthen skin, reduce stress, and improve overall well-being.

Embrace Your Confidence

Psoriasis may be a part of your story, but it doesn’t have to define you. With an expert care team and the right treatment plan, UI Health can get you back to feeling great in your own skin — literally and figuratively!

If you have concerns about psoriasis or any other skin condition, ask your primary care provider if seeing a dermatologist at UI Health is right for you. To learn more about our program, visit Derm.UIHealth.Care.