A 29-Year-Old Woman with Treatment-Resistant Dandruff

January 2022 in “ Clinical Cases in Dermatology ”

Mariusz Sikora

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.

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community Progress: From June 2022 (7 months of min + fin) to now (1 year) — I’ve lost so much density in this period and I have no idea why. I was getting pretty good resultup until that point. Is there anything else I can try? I’ve tried min, fin, tretinoin, micro needling, and castor oil. I feel hopeless.

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community What do these pictures say about my hair and scalp if anything? Miniaturization, inflammation, etc.?

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Related Research

2 / 2 results

research A 29-Year-Old Woman with Treatment-Resistant Dandruff

January 2022 in “Clinical Cases in Dermatology”

Scalp psoriasis is hard to treat and may need various medications.

research Psoriasis of the Scalp: Diagnosis and Management

128 citations, January 2001 in “American Journal of Clinical Dermatology”

Coal tar shampoos, salicylic acid, and topical corticosteroids are effective for scalp psoriasis, with Vitamin D3 analogues also showing benefits; severe cases may require stronger medication with more risks.