Scalp Psoriasis and African American Hair

Scalp psoriasis can cause raised, inflamed areas with scale that extends beyond the hairline. Dense or tightly curled hair may make it harder to see the scalp or apply medicine evenly, and frequent washing may not fit every hair routine. Braids, extensions, wigs, adhesives, heat, and tight styles can add traction or irritation. [Itchy Scalp](/symptoms/itchy-scalp/) and [Flaky Scalp](/symptoms/scalp-flaking/) can have several causes, so an examination helps confirm the diagnosis.

Ask for a formulation that reaches the scalp, such as a solution, foam, oil, or shampoo, and request instructions for parting the hair and protecting the lengths. Loosen styles that cause tenderness, avoid picking scale, and pause products that sting. A [Medicated Shampoo Treatment](/treatments/medical-dermatology/medicated-shampoo-therapy/) or [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) may be used according to the clinician's plan. Keep the scalp comfortable between washes rather than scraping scale away.

Book an appointment when scale is thick, bleeding, painful, spreading, or interfering with sleep or styling. Seek prompt help for pus, rapidly worsening tenderness, marked swelling, fever, or sudden patchy hair loss. Tell the clinician about braids, locs, extensions, wigs, relaxers, dyes, adhesives, and the longest interval between washes so the plan is realistic.

Ask which product reaches your scalp best, how long to leave it on, whether your current style should be changed, and how to prevent flare-ups around appointments or protective styling. Ask how to tell psoriasis from contact irritation or infection.