Does Scalp Psoriasis Cause Hair Loss?

Scalp psoriasis can cause temporary hair loss, mainly due to intense itching, repeated scratching, and thick scaly plaques that weaken or block hair follicles. Although inflammation triggers increased shedding during flare-ups, hair typically regrows once the condition is properly treated and controlled.

Hair loss in scalp psoriasis usually occurs when inflamed skin disrupts the normal hair growth cycle or when frequent scratching and plaque removal pull hair out. The good news is that once psoriasis is properly treated and scalp health is restored, hair typically grows back.

According to Dr Harikiran Chekuri a leading hair surgeon specializing in hair loss , 

“Early medical management of scalp psoriasis is crucial to prevent prolonged hair shedding and avoid secondary scalp damage.”

Scalp psoriasis can lead to hair loss mainly due to the unhealthy scalp environment it creates. Several factors contribute to shedding and weakened hair growth:

• Physical Trauma: Constant scratching, rubbing, or picking at thick, itchy psoriasis scales can physically dislodge hairs, break fragile strands, and damage hair follicles, contributing to noticeable shedding over time.
• Inflammation: Chronic inflammation in the scalp irritates and weakens hair follicles, reducing their ability to anchor strands properly. This can make hair brittle, prone to breakage, and in severe cases, lead to temporary thinning known as psoriatic alopecia.
• Treatment Side Effects: Some medicated shampoos, especially those containing high concentrations of salicylic acid or coal tar, as well as systemic medications like methotrexate, may temporarily thin hair as a side effect while addressing psoriasis symptoms.
• Stress: The psychological and emotional stress of managing a persistent condition like psoriasis can disrupt the normal hair growth cycle, triggering a temporary shedding phase called telogen effluvium, which makes hair loss more pronounced.

At Redefine Hair Transplant and Plastic Surgery Center, Dr Harikiran Chekuri ensures scalp psoriasis is managed effectively to minimize hair loss and support healthy regrowth

Scalp psoriasis related hair loss can often be prevented and reversed with proper management and care. Key strategies include:

• Regrowth: In most cases, hair grows back fully once scalp inflammation and plaque buildup are properly managed. Controlling flare-ups with medicated shampoos, topical treatments, or prescribed medications helps follicles recover and resume normal hair production.
• Rare Exceptions: Permanent hair loss is very uncommon and usually occurs only if severe, untreated psoriasis causes deep scarring of the scalp, which can destroy hair follicles permanently. Early treatment significantly reduces this risk.
• Gentle Care: To minimize hair loss, avoid scratching or picking at plaques. Use a wide-tooth comb to detangle hair gently, and apply moisturizing conditioners to offset the drying effects of medicated shampoos, maintaining hair strength and elasticity.
• Scalp Hygiene: Regular cleansing with appropriate medicated shampoos removes excess scales, reduces inflammation, and prevents secondary infections that can worsen hair shedding.

At Redefine Hair Transplant and Plastic Surgery Center, Dr Harikiran Chekuri provides tailored treatment plans to manage psoriasis, protect hair follicles, and promote sustainable hair regrowth.

Dr Harikiran Chekuri provides expert evaluation and personalized care for all types of hair loss, including shedding caused by scalp psoriasis. At Redefine Hair Transplant and Plastic Surgery Center, he carefully assesses the scalp and hair condition to identify the root cause of hair thinning and create a customized treatment plan. This may include medical management, scalp therapies, or advanced hair procedures when required. With his guidance, patients benefit from evidence-based treatments, advanced technology, and a holistic approach that protects existing hair follicles while promoting natural regrowth. Our clinic offers comprehensive hair restoration solutions at our Mumbai and Hyderabad locations, ensuring accessible and professional care for patients seeking healthier, fuller hair.

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