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The document discussed the challenges and treatment options for scalp psoriasis, a condition affecting 50–75% of psoriasis patients, characterized by erythematosquamous lesions and silver-white scaling. Scalp psoriasis was noted to impair quality of life and cause psychological distress. Despite numerous therapies, treatment remained difficult due to the scalp's inaccessibility and the unpleasantness of topical applications. Shampoos, containing keratolytics, tars, and corticosteroids, were highlighted as safe, well-tolerated, and effective, with clobetasol propionate shampoo and tar-blend shampoos being preferred for induction and maintenance therapy, respectively. Treatment needed to be individualized as no single preparation was superior in all situations.

The document discussed the challenges and treatment options for scalp psoriasis, a condition affecting 50-75% of psoriasis patients and characterized by erythematosquamous lesions and silver-white scaling. Scalp psoriasis could impair hair growth and significantly impact quality of life due to pruritus, scaling, and psychological distress. Despite numerous therapies, treatment was difficult due to the scalp's inaccessibility and the unpleasantness of topical applications. Shampoos, containing keratolytics, tars, and corticosteroids, were highlighted as safe, well-tolerated, and effective, with clobetasol propionate shampoo and tar-blend shampoos being preferred for induction and maintenance therapy, respectively. However, no single preparation was universally superior, necessitating individualized treatment plans.