The Link Between Psoriasis and Hair Loss

If you’re noticing hair thinning or excessive shedding along with red, scaly patches on your scalp, there may be a connection. While psoriasis doesn’t directly damage hair follicles, inflammation and irritation on the scalp can lead to breakage and temporary hair loss. Understanding how psoriasis and hair thinning are related can help you take the right steps toward relief and regrowth.

What Is Scalp Psoriasis?

Scalp psoriasis is a chronic autoimmune skin condition that causes the body to produce skin cells at an accelerated rate. This buildup results in thick, inflamed patches covered with silvery-white scales. These plaques often appear along the hairline, behind the ears, and at the back of the neck. In more severe cases, they may cover the entire scalp.

Symptoms can include itching, burning, soreness, and flaking. While it may resemble dandruff, scalp psoriasis is usually more persistent and resistant to typical over-the-counter treatments. To manage symptoms effectively, it’s important to work with a dermatologist and explore your options for psoriasis treatment.

How Psoriasis Leads to Hair Loss

Although the condition doesn’t physically destroy hair follicles, scalp psoriasis can contribute to hair loss in several ways. Inflammation around the hair shaft can weaken it, making it more likely to fall out. Persistent itching may lead to excessive scratching, which can further damage the scalp and dislodge hair. In addition, picking or pulling at dry scales can inadvertently remove attached hairs.
Certain medicated shampoos or topical treatments, if not used correctly, may also dry out the scalp and contribute to psoriasis hair loss. Stress, which often worsens psoriasis, is another factor known to influence hair shedding. While the presence of plaques themselves doesn’t trigger baldness, the environment they create on the scalp can interfere with healthy hair growth.

Is Psoriasis Hair Loss Permanent?

Hair loss associated with scalp psoriasis is usually temporary. As inflammation subsides and the scalp heals, hair typically grows back. However, if flare-ups are frequent or severe, or if the scalp is repeatedly scratched or picked, the risk of long-term thinning may increase.

Permanent hair loss from psoriasis is rare but can occur in extreme cases where scarring develops. Early treatment and proper care of the scalp can reduce this risk significantly. Recognizing the signs of flare-ups and responding with appropriate treatment is essential in preventing lasting damage.

How to Treat Hair Loss from Psoriasis

Addressing hair falling out from plaque psoriasis involves managing the underlying scalp condition while supporting hair health. Treatment options may include:

• Medicated shampoos and topical therapies: Corticosteroids, salicylic acid, coal tar, or vitamin D analogs are often prescribed to reduce inflammation and remove scale buildup.
• Moisturizing products: Scalp oils and hydrating treatments help soothe dryness and protect against further irritation.
• Avoiding physical irritation: Gentle brushing, avoiding tight hairstyles, and reducing heat styling can prevent additional strain on the scalp.
• Stress management: Reducing emotional stress through sleep, exercise, or mindfulness techniques may help lessen flare-ups.
• Professional hair restoration treatments: If hair thinning persists, options such as PRP therapy or laser treatments may help stimulate regrowth.

When to See a Dermatologist

Consult a dermatologist if:

• Hair loss is worsening or widespread
• Over-the-counter treatments are no longer effective
• You’re experiencing discomfort or painful lesions on the scalp
• Hair does not grow back after inflammation resolves

A thorough evaluation can help determine the severity of psoriasis hair loss and whether additional interventions are needed. Personalized treatment plans often yield better results than self-managed care, particularly when hair health is a concern.

Psoriasis Hair Loss Treatment at Schweiger Dermatology Group

If you’re experiencing scalp psoriasis hair loss, Schweiger Dermatology Group offers expert care to address both skin and hair concerns. Our board-certified dermatologists provide advanced treatment options for managing psoriasis and supporting hair regrowth. To schedule an appointment, book online or call 844-DERM-DOC.