Psoriasis on the scalp in African American skin

On richly pigmented skin, inflammation may appear violet, deep brown, or gray rather than bright red. Scale can be silvery or pale and may extend beyond the hairline. Itching, tightness, dryness, and cracking can occur, while hair itself is not the source of the condition. Scratching or forcefully lifting scale can irritate the scalp and contribute to temporary shedding.

Arrange a dermatology assessment if the diagnosis is uncertain, because eczema, seborrheic dermatitis, and fungal infection can resemble psoriasis. Use prescribed scalp treatment exactly as directed and allow it time to contact the skin beneath the hair. A gentle cleanser, lukewarm water, and careful detangling reduce friction. Avoid picking, tight styles, harsh chemical processing, and fragranced products on sore areas. Moisturising scale as advised can make treatment easier.

Seek prompt medical advice for pus, marked tenderness, warmth, spreading swelling, fever, or sudden extensive shedding. Arrange review when itching prevents sleep, patches reach the face or ears, or symptoms continue despite following treatment. New joint pain, stiffness, or swollen fingers should also be reported because psoriasis can involve joints.

Ask whether the colour and scale fit scalp psoriasis, how to apply treatment through your hairstyle, and which products are least irritating. Discuss whether hair shedding is from inflammation, scratching, or another cause, and when a follow-up examination is needed.