Severe plaque psoriasis on the scalp is a challenging condition that requires effective management strategies.

Q: What are the most common treatments for severe plaque psoriasis on the scalp?

A: The treatments for severe plaque psoriasis on the scalp include topical therapies, phototherapy, and systemic medications.

Q: What topical treatments are recommended?

• **Topical Corticosteroids**: Reduces inflammation and itching.
• **Vitamin D Analogues**: Slows skin cell growth (e.g., calcipotriene).
• **Coal Tar**: Relieves scaling and itching.
• **Topical Retinoids**: Normalizes skin cell growth (e.g., tazarotene).

Q: How does phototherapy work?

A: Phototherapy involves exposing the scalp to ultraviolet light, which can reduce symptoms. Common types are:

• **UVB Therapy**: Targets affected areas, reducing thickness and inflammation.
• **PUVA Therapy**: Uses a combination of psoralen (a light-sensitizing medication) and UVA light.

Q: When are systemic treatments considered?

A: Systemic treatments are used for severe cases that do not respond to topical or phototherapy. These include:

• **Biologics**: Target the immune system (e.g., adalimumab, etanercept).
• **Methotrexate**: Suppresses the immune response and reduces skin cell production.
• **Acitretin**: An oral retinoid that can normalize skin cell production.

Effectiveness of Treatments

Thinking Mind Map

– **Severe Plaque Psoriasis**

• – Topical Treatments
• – Phototherapy
• – Systemic Treatments
• – Lifestyle Modifications
• – Support Groups

Statistics on Prevalence

Conclusion

Effective management of severe plaque psoriasis on the scalp requires an individualized approach, considering treatment effectiveness, side effects, and patient preferences. A consultation with a dermatologist is essential to make the best choices.