Scalp psoriasis is a widely misunderstood condition, often leading to confusion and misinformation. As a dermatologist, I frequently encounter patients who are unsure about what causes psoriasis and how to manage it. To help clarify, here are 20 common myths about scalp psoriasis and the real facts behind them.
1. Myth: Scalp Psoriasis is Just Bad Dandruff
Fact: While both scalp psoriasis and dandruff can cause flaking, they are different conditions. Psoriasis is an autoimmune disorder that leads to the buildup of thick, scaly plaques, while dandruff is usually due to an overproduction of skin oils and yeast.
2. Myth: Scalp Psoriasis is Contagious
Fact: Psoriasis is not contagious. You cannot “catch” it from someone else. It is an autoimmune condition, meaning it results from an overactive immune system, not from bacteria or viruses.
3. Myth: Poor Hygiene Causes Scalp Psoriasis
Fact: Hygiene has nothing to do with the development of scalp psoriasis. It is caused by an immune system issue, not a lack of cleanliness.
4. Myth: Scalp Psoriasis Only Affects the Scalp
Fact: While scalp psoriasis affects the scalp, it can extend beyond the hairline to the forehead, neck, or behind the ears. Some people with scalp psoriasis may also develop patches elsewhere on the body.
5. Myth: Scalp Psoriasis Leads to Permanent Hair Loss
Fact: Scalp psoriasis can cause temporary hair loss due to inflammation and scratching, but it usually grows back once the condition is treated and under control.
6. Myth: Scratching Scalp Psoriasis is Harmless
Fact: Scratching can make scalp psoriasis worse by irritating the skin and leading to bleeding or infection. It can also cause temporary hair loss.
7. Myth: Psoriasis is Curable
Fact: Psoriasis is a chronic condition with no cure, but it can be effectively managed with the right treatments, such as medicated shampoos, topical creams, or systemic medications.
8. Myth: Scalp Psoriasis is Rare
Fact: Psoriasis is a common condition that affects around 2-3% of the global population, with a significant number of cases involving the scalp.
9. Myth: Psoriasis is Only Skin Deep
Fact: Psoriasis is more than just a skin condition; it is an autoimmune disorder. It can be associated with other health issues like psoriatic arthritis, heart disease, and diabetes.
10. Myth: Psoriasis is Only Triggered by External Factors
Fact: Psoriasis flare-ups can be triggered by both internal and external factors. External triggers include skin injuries or infections, while internal factors like stress and hormonal changes can also play a significant role.
11. Myth: You Can’t Color or Style Your Hair with Scalp Psoriasis
Fact: While some hair treatments might irritate the scalp, many people with scalp psoriasis can still color and style their hair. It’s important to consult with a dermatologist to find suitable products and techniques that won’t aggravate the condition.
12. Myth: Scalp Psoriasis is Caused by Allergies
Fact: Scalp psoriasis is not caused by allergies. It is an immune-mediated condition. While certain allergens might trigger symptoms, they are not the underlying cause.
13. Myth: Psoriasis is Only Genetic
Fact: Genetics do play a role in psoriasis, but environmental factors like stress, skin injuries, infections, and certain medications can also trigger or worsen the condition.
14. Myth: Scalp Psoriasis is the Same for Everyone
Fact: Psoriasis varies greatly from person to person. Some may have mild symptoms, while others may experience severe flare-ups with extensive scaling, redness, and inflammation.
15. Myth: Psoriasis Affects Only Adults
Fact: Psoriasis can affect people of all ages, including children. Pediatric scalp psoriasis is common, though it may present slightly differently than in adults.
16. Myth: You Should Stop Treatment Once Symptoms Improve
Fact: Psoriasis requires ongoing management. Stopping treatment once symptoms improve can result in flare-ups. Continuing treatment as prescribed helps maintain long-term control of the condition.
17. Myth: All Psoriasis Treatments are the Same
Fact: Psoriasis treatments are tailored to each individual based on the severity and type of psoriasis. Options include topical treatments, phototherapy, and systemic medications, depending on the patient’s needs.
18. Myth: You Should Wash Your Hair Less Frequently with Scalp Psoriasis
Fact: While excessive washing can dry out the scalp, regular cleansing with a medicated shampoo is crucial for managing scalp psoriasis. Talk to your dermatologist about the ideal washing routine for your scalp.
19. Myth: Topical Treatments Are the Only Option
Fact: While topical treatments are commonly used for scalp psoriasis, other options include phototherapy, oral medications, and biologics, especially in more severe cases.
20. Myth: Psoriasis Will Go Away on Its Own
Fact: Psoriasis is a chronic condition, meaning it won’t go away without proper treatment. Symptoms may improve during periods of remission, but without treatment, flare-ups are likely to return.
Conclusion
Scalp psoriasis is a manageable condition, but it’s important to separate the myths from the facts to effectively control symptoms. Consult a dermatologist if you suspect you have scalp psoriasis for an accurate diagnosis and a personalized treatment plan.
For more resources and information, check out reputable organizations like the National Psoriasis Foundation or the American Academy of Dermatology to learn more about living with psoriasis.