The Difference Between Scalp Psoriasis and Dandruff 

What's the difference between Scalp Psoriasis and Dandruff?

Area

Psoriasis

Two common conditions which can lead to a flaky, itchy scalp are scalp psoriasis and dandruff. While they may seem similar at first glance, understanding the differences may help manage them more effectively. This guide will help you distinguish between the two, and discuss how you can support your hair and scalp health.

What is Scalp Psoriasis?

Scalp psoriasis is a persistent, autoimmune condition that affects the skin of the scalp. It results from the immune system mistakenly accelerating the growth cycle of skin cells, leading to the buildup of thick, scaly patches that can be silver or red. These patches may be itchy or feel sore, and they often extend beyond the hairline.

What is Dandruff?

Dandruff, on the other hand, is a common condition caused by the overgrowth of Fungus yeast on the scalp, known as Malassezia. This fungus thrives on the oils secreted by hair follicles, leading to excess skin cell production and the characteristic white, flaky skin that sheds onto your hair and shoulders. Dandruff is primarily an aesthetic concern and is often associated with itching.

Key Differences Between Scalp Psoriasis and Dandruff

Appearance:

  • Scalp Psoriasis: Thick, inflamed patches that can be red and covered with silvery scales.
  • Dandruff: Fine, oily, white flakes not accompanied by significant redness or inflammation.

Symptoms:

  • Scalp Psoriasis: Symptoms include dryness, burning, and soreness around the scaly patches; can also lead to temporary hair thinning.
  • Dandruff: Mainly characterised by itchiness and flaking, without the intense inflammation seen in psoriasis.

Scalp Coverage:

  • Scalp Psoriasis: Often extends beyond the hairline to the neck or behind the ears.
  • Dandruff: Usually confined to the scalp and does not spread to other areas.

Extra Guidance for Scalp Conditions

Identifying whether you have scalp psoriasis or dandruff begins with observing the symptoms, but accurate diagnosis can require consultation with a healthcare professional. Dermatologists typically examine the scalp closely, looking for the tell-tale signs of each condition. They may also perform a skin biopsy or scrape off a small sample of the flaky skin to examine under a microscope. This helps differentiate between psoriasis scales and dandruff flakes, ensuring the appropriate treatment can be started.

Treatment Options 

For Scalp Psoriasis:

Effective treatments for scalp psoriasis often involve managing the symptoms with specialised shampoos and serums, typically requiring a prescription. Ingredients like coal tar and salicylic acid are effective in slowing down skin cell growth and removing scales associated with scalp psoriasis. These ingredients help reduce inflammation and soothe the scalp, providing relief from symptoms. However, keeping the scalp healthy and nourished is a key part of soothing scalp psoriasis. Dermal Therapy’s Hair Restoring Shampoo & Conditioner is an over the counter solution, formulated to remove impurities and help to improve scalp health and hair vitality.  

For Dandruff:

For those dealing with dandruff, Dermal Therapy’s Scalp Relief Shampoo & Conditioner offers a dual action by gently cleansing and hydrating the scalp. It reduces flaking and calms irritation while providing dandruff protection. The formula is free from soap and SLS (Sodium Lauryl Sulfate), incorporating ingredients such as piroctone olamine for its antifungal properties, and colloidal oatmeal to soothe the scalp. 

General Scalp Care Tips

  • Avoid harsh styling products and extreme temperatures.
  • Gently massage the scalp during washes to improve circulation.
  • Maintain hydration and a balanced diet to support overall scalp health.

Experience Dermal Therapy’s Scalp Relief Serum, Australian-made and designed to moisturise and soothe dry, irritated scalps. This quick-drying, steroid and tar-free serum relieves dryness and itchiness rapidly, ideal for daily use and long-term use without a prescription.

Dermal Therapy Scalp and Hair Care

Understanding the differences between scalp psoriasis and dandruff is crucial when selecting a treatment. Dermal Therapy offers hair care products designed to support a healthy scalp, alleviating itch, flaking, and dandruff. Discover the confidence of a healthier scalp and hair with our specialised range, ensuring your scalp stays in top condition. Let Dermal Therapy help you maintain a vibrant, healthy scalp.

Continue reading to discover the difference between psoriasis and eczema. Learn how to identify eczema and psoriasis with pictures and how to diagnose the different types of psoriasis. If you’re looking for help for your child with psoriasis view our Paediatric Infant Psoriasis guide.

References

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