What are the symptoms of scalp psoriasis?

The scalp may develop clearly defined areas of raised, thickened skin covered by white or silvery scale. The patches can extend onto the forehead, neck, or behind the ears. Itching is common, while some people notice tenderness, burning, tightness, or bleeding after scratching. Flaking can range from fine loose scale to thicker layers that cling to the hair and scalp.

Hair usually grows through the affected skin, but vigorous scratching or lifting scale can cause temporary shedding or breakage. Dandruff, seborrhoeic dermatitis, and fungal infection can resemble scalp psoriasis, so a clinician may compare the scalp with other skin or nail changes.

Soften scale with the product recommended for your scalp and loosen it gently; do not pick or scrape plaques. Use a mild shampoo, keep nails short, and avoid hairstyles or chemical treatments that increase soreness. A clinician may suggest medicated shampoo treatment, topical corticosteroids, or another plan based on the thickness and extent of the plaques. Excimer laser therapy is one specialist option for selected localised areas.

Arrange an assessment if itching, scale, or soreness is persistent, if plaques reach the face or ears, or if the scalp is cracking or bleeding. Seek prompt advice for sudden widespread redness, pus, fever, or painful swelling. Mention new joint pain, stiffness, or swollen fingers because psoriasis can affect joints as well as skin.

Does the scale and plaque pattern fit scalp psoriasis? How can I loosen scale without damaging hair? Which shampoo or topical treatment suits my scalp? Should I report joint stiffness or changes in my nails?