Does Scalp Psoriasis Cause Hair Loss?

Scalp psoriasis can potentially lead to hair loss, but it’s not the psoriasis itself that directly causes hair loss. Instead, hair loss associated with scalp psoriasis typically results from the combination of factors related to the condition and the body’s response to it. Here’s how it can happen:

  • Inflammation: Scalp psoriasis is characterized by red, itchy, scaly patches on the scalp. The inflammation and scaling can be severe and can affect the hair follicles. When hair follicles are inflamed or damaged, it can lead to hair thinning and loss.
  • Excessive Scratching: Itchiness is a common symptom of scalp psoriasis, and scratching the affected areas can cause trauma to the hair follicles. Frequent and aggressive scratching can lead to hair breakage and even uprooting of hair strands, which can contribute to hair loss.
  • Topical Treatments: Some treatments for scalp psoriasis, such as topical corticosteroids, can have side effects like skin thinning. When these medications are applied to the scalp, they can potentially affect the hair shafts and lead to hair thinning.
  • Psychological Stress: Living with a chronic skin condition like psoriasis can be emotionally stressful. Stress itself can contribute to hair loss, a condition known as telogen effluvium, and this may be exacerbated by the emotional toll of dealing with psoriasis.

It’s important to note that not everyone with scalp psoriasis will experience hair loss, and the extent of hair loss can vary widely from person to person. Many individuals with scalp psoriasis retain their hair without significant issues.

If you have scalp psoriasis and are concerned about hair loss, it’s a good idea to consult with a dermatologist. They can provide you with an accurate diagnosis, recommend appropriate treatments for your scalp psoriasis, and offer guidance on managing any associated hair loss. Effective management of the psoriasis itself and any contributing factors can help minimize the risk of hair loss.