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Psoriasis on the head: the initial stage, symptoms and treatment, photo

Psoriasis is a chronic non-infectious disease, with relapses on the skin appear dry scaly patches in the form of nodules and plaques, accompanied by itching and inflammation.

In complex, neglected cases, the spots merge, forming extensive zones of pathology. Therapy can relieve the symptoms of exacerbations, and prevention reduces the risk of recurrence.

A common type of disease is psoriasis of the scalp - why this form has become widespread, its types, causes, symptoms and treatment methods are described below.



The impetus to the development of psoriasis gives autoimmune disorders, when protective cells of immunity begin to take body tissues for foreign ones.

Causes With psoriatic lesions, they migrate to the skin and provoke inflammation. The disease is also associated with improper maturation of new cells and active growth of connective tissue.

The causes of psoriasis on the head, namely, its exacerbations, are as follows:

  • dry skin, often due to lack of vitamin A;
  • stress, psychological trauma and experience;
  • seasonal effects of temperature and sunlight, climate change or residence;
  • tendency to allergies;
  • friction and injury to the skin;
  • hormonal imbalance;
  • metabolic disorders;
  • alcohol abuse, malnutrition, especially the abundance of sweet food and marinades;
  • the appearance on the scalp of the fungus Malasshesia - leads to allergies and seborrheic psoriasis;
  • infectious diseases of streptococcal and other nature;
  • reception of antibiotics, beta-blockers, antimalarials and other medications.

Psoriatic plaques on the scalp appear more than half of people diagnosed with psoriasis. They are localized in the scalp, on the back of the head, in the forehead of the hair and along the line of their growth, on the back of the neck, behind the ears.

Types and forms

Varieties of psoriasis of the head:

Kaplevidny - has the form of protuberances, in the form of reminding drops, and develops after streptococcal infections. The color of the formations is purple, red, purple.

Pustular - extends to the scalp in a generalized form, the usual affects only the legs and hands. Another name is exudative psoriasis.

These are blisters filled with a liquid with red, thickened and inflamed skin.

Seborrheic psoriasis of the head is a highly flaky area of ​​the skin on the forehead and the scalp ("psoriatic crown"), red festering crusts behind the ears and spotted scaly rashes on the face.

Each of these species can proceed in mild or severe form depending on the size, thickness, degree of peeling and draining of the plaques.

The initial stage of psoriasis on the head, photo

The initial stage of psoriasis on the head is the appearance of one or more pink papules covered with dry scales - they itch, and if damaged, bleed. At first, their sizes are small, in appearance they resemble pimples, their edges are clearly delineated.

psoriasis on the head photo initial stage

psoriasis on the head, photo 1 (initial stage)

initial stage photo 2

initial stage, photo 2

Less pronounced itching, soreness and irritation there, but there is only a slight peeling of the spots, but dry whitish scales are always easily separated from the skin and dandruff appears.

Triad of psoriatic signs:

  • when combing papules, the surface becomes white (stearin stain);
  • with subsequent damage - shiny and red (thermal film);
  • if you continue to scrape the stain, then it appears small droplets of blood (blood dew).

Spots grow on the periphery, merge with each other, and the disease progresses.

Symptoms of psoriasis of the scalp

Symptoms of psoriasis of the scalp Further development of psoriasis is accompanied by increased irritation of the skin and itching, inflammation joins in.

Because of combing in the scalp, behind the ears, on the neck, wounds and cracks form, which do not heal for a long time; fused plaques appear on the papules' place, covered with dry scales.

The skin in these places coarsens and thickens, its elasticity decreases and it becomes even easier to damage it. If you do not start treatment at the initial stage, the pathological process goes beyond the line of hair growth on the forehead.

Diagnosis of psoriasis on the head is not difficult - the dermatologist reveals it already during the examination. In addition, you need to pass a blood test, which shows:

  • increase in erythrocyte sedimentation rate (ESR);
  • increasing the values ​​of the reactive protein of the blood;
  • leukocytosis;
  • growth of rheumatoid factor.

To confirm the diagnosis and form of psoriasis, to exclude other dermatological pathologies, a biopsy is administered.

Treatment of psoriasis but the head

Treatment of psoriatic lesions of the scalp is complex, it includes:

  1. general therapy;
  2. local funds;
  3. physiotherapy;
  4. sanatorium treatment.

General Therapy

Common treatments for psoriasis of the head include:

  • antihistamines (Suprastin, Diazolin, Claritin, Semprex);
  • sedatives (Bechterew's medication, sodium bromide solution);
  • vitamins (A, E and others);
  • NVPs (Ibuprofen, Diclofenac, Indomethacin);
  • hyposensitizers (sodium thiosulfate, calcium chloride);
  • immunosuppressors (Ciclosporin-A, Sandimmun);
  • administration of calcined autograft;
  • droppers with haemodesis;
  • hepatoprotectors for liver protection;
  • enzymatic agents (Wobenzym, Eubukor);
  • sorbents (Enterosgel, activated carbon);
  • antibiotics are indicated if secondary infection has joined.

With the severity of symptoms and severe, not amenable to the treatment of the course of the disease, corticosteroids and cytostatics are prescribed.

These drugs require caution in the application and strict adherence to the dosages indicated by the doctor.

Local funds

Local funds These are ointments, creams, shampoos, solutions, lotions, sprays, which are applied to the affected areas. Their action - softening of the skin, reducing inflammation, antiallergic, antipruritic effect.

Ointments from psoriasis on the head are more convenient to apply to areas of the skin without hair - behind the ears, around the neck, the frontal zone, and are divided into two groups:

1. Glucocorticoid - contain hormones, act quickly and efficiently, but their significant disadvantage is the abundance of serious side effects. They are appointed when other means do not bring relief.

Examples of preparations: Hydrocortisone ointment , Lorinden, Kenacort, Beloderm, Belosalik, Lokoid, Betazon, Diprosalik, Oxycort.

2. Non - hormonal - they use long courses (up to 2-4 months and longer), but they do not carry such a danger as hormonal ointments.

Among them are Salicylic, Psoriatin, Antispor, Naftaderm, Psoriazin, Berestin, Zinocap, Resorcinum.

Effective for treatment of psoriasis on the head are lotions - with the content of dithranol (Ditrastik, Psoraks) and a vitamin D derivative (Daivonex, Psorkutan).

This form of external medicinal products is convenient in the application - the hair is not dirty due to the water-alcohol base and the absence of oils and fatty substances.

Another means of local treatment of psoriatic plaques in the scalp are shampoos:

  • with ketoconazole (Perhotal, Serbosol, Ketozoral);
  • on the basis of tar (Squaft, Friederm-tar, Algopix);
  • with salicylic acid and zinc (Clorane, Skin-cap, Neutrogena T / Sal).

Physiotherapy and sanatorium treatment

From physioprocedures in the complex therapy of psoriasis on the head, hydrotherapy, plasmapheresis, hemosorption, irradiation with ultraviolet lamps and erbium laser are used. A good effect is provided by a combination of naphthalanic applications with ultrasound and UV-rays.

To fix the result of treatment with drugs and strengthen the body helps stay in a sanatorium, during which mud therapy is used, bathing in hydrogen sulphide springs or baths, heliotherapy.

Treatment with folk remedies

Means of traditional medicine - an auxiliary measure in the fight against psoriasis of the scalp. These are masks, ointments and tinctures for rubbing.

For the basis of the home medicated mixture, you can take sour cream or water-diluted cosmetic clay, and as active ingredients, tar, tincture of celandine, castor, mackerel, aloe vera, urea are effective.

Treatment with folk remedies

In the mask it is useful to add 3-4 drops of essential oil of tea tree, pine, bergamot, sage or thyme.

Recipes for cooking homemade ointment from psoriasis on the head:

  • 200 g of solidol, 1 egg white, 10 g of propolis tincture, 2 tsp. honey, 1 tbsp. l. grass powder celandine.
  • 100 g of Vaseline, 40 g of birch tar, 3 g of boric acid 3%.
  • For 50 g of beeswax and interior fat, 20 g of cedar or pine grease (mix and melt in a water bath).
  • 100 g of birch tar, 10 ml camphor oil, 2 tbsp. l. alcohol tincture of aloe.

After washing the hair, you can rinse your head with decoctions of herbs: celandine, marigold, turn, elecampane.

Treatment of psoriasis on the head with folk remedies is carried out after consultation of a dermatologist and in combination with basic methods.

Preventive measures

Prevent relapse of the disease allows:

  • absence of stress and fatigue;
  • vitamin therapy;
  • use of medical shampoos;
  • diet compliance;
  • rejection of bad habits.

In the diet should be a minimum of sugar and other simple carbohydrates, fats, seasonings, sharp, fried, pickled foods, more vegetable and protein foods. It is important to avoid overheating, hypothermia and long exposure to the sun.

Prophylaxis of psoriasis on the head also includes timely treatment of infections in the body.

Classification according to IBC 10

In the international classifier of diseases psoriasis is in the section "Class XII -Diseases of the skin and subcutaneous tissue"

- L40-L45 Papulosquamous disorders

- - L40 Psoriasis

  • (L40.0) Common psoriasis;
  • (L40.1) Generalized pustular psoriasis;
  • (L40.4) Psoriasis teardrop;
  • (L40.5) Psoriasis arthropathic;
  • (L40.8) Other psoriasis;
  • (L40.9) Psoriasis, unspecified.

On the scalp, most often observed drop-shaped psoriasis - (L40.4) Psoriasis teardrop.

2016-11-11 02:54:46
Thank you
2016-11-24 15:50:38
After a lot of stress, I started psoriasis and now every time I get nervous, then these plaques begin to scratch immediately.

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