A 29-Year-Old Woman with Treatment-Resistant Dandruff
January 2022
in “
Clinical Cases in Dermatology
”
scalp psoriasis erythematous plaques silvery-white scales pruritus hair loss dermoscopy skin biopsy calcipotriene betamethasone dipropionate intralesional corticosteroids retinoids keratolytic agents methotrexate acitretin cyclosporine apremilast etanercept secukinumab itching betamethasone corticosteroids
TLDR Scalp psoriasis is hard to treat and may need various medications.
The document discusses scalp psoriasis, a common form of plaque psoriasis affecting up to 80% of patients at some point. It highlights the characteristic lesions, which are erythematous plaques with silvery-white scales, and the significant impact of pruritus and hair loss on quality of life. Diagnosis is primarily clinical, with dermoscopy and skin biopsy as supportive tools. Treatment is challenging, with topical agents like calcipotriene and betamethasone dipropionate as first-line options, and systemic treatments for severe cases. The document emphasizes the need for tailored treatment strategies for scalp psoriasis.