Psoriasis and Scalp Problems

Psoriasis is a common disease, affecting 2 to 3 percent of the total population, according to the World Psoriasis Day consortium. At the same time, the World Health Organization states that the prevalence of psoriasis ranges between 1% and 11%, making psoriasis a serious global problem with at least 100 million individuals affected worldwide (1).

The numbers demonstrate the range of symptoms and diagnosis associated with psoriasis.

Scalp psoriasis

The estimated incidence of scalp psoriasis among psoriatic patients is 45–56% of (2). In one epidemiological study it was found that up to 90% of psoriatic patients may have the scalp affected by the disease at some point during their lifetimes (3, 4)

Scalp psoriasis manifests as patches and silvery white scales that flake. The involved skin is exceedingly dry, often causing cracking and bleeding on its surface. Many patients also complain about sensations of pain or burning (5).

Scalp psoriasis has a significant negative impact on their quality of life. More than 70% of these patients report difficulty with everyday activities. Patients often experience the feeling of shame, embarrassment or self-consciousness about their scalp lesions and as a consequence wear hats or grow their hair long to hide the defect.

A large group of psoriatic patients with severe scalp involvement present mild involvement of the body skin and in consequence they may not meet the criteria to receive systemic therapy for moderate-to-severe psoriasis vulgaris. Thus, the most frequent therapy is based on topical agents, usually with only temporary effect and frequent recurrence.

Patients with scalp psoriasis need care. Daxxin is tested and has proven efficacy for irritation and itching, redness, flaking, as well as scratches and sores on the scalp. The shampoo can relieve symptoms of psoriasis on the scalp and has no known side effects.

(1) Global report on psoriasis, WHO, Psoriasis epidemiology, prevention and control, 2016

(2) Merola JF, Li T, Li W, et al. Prevalence of psoriasis phenotypes among men and women in the USA. Clin Exp Dermatol. 2016;41:486–489.

(3) Aldredge LM, Higham RC. Manifestations and Management of Difficult-to-Treat Psoriasis. JDNA. 2018;10:189–197.

(4) Frez ML, Asawanonda P, Gunasekara C, et al. Recommendations for a patient-centered approach to the assessment and treatment of scalp psoriasis: A consensus statement from the Asia Scalp Psoriasis Study Group. J Dermatolog Treat. 2014;25:38–45.

(5) Dopytalska K, Sobolewski P, Błaszczak A, Szymańska E, Walecka I. Psoriasis in special localizations. Reumatologia (2018) 56(6):392–8. doi: 10.5114/reum.2018.80718

Scalp psoriasis

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