Treatment of Scalp Psoriasis in Adults When Topical Therapies Are Insufficient

Clinical Scenario

Adults aged 18 years or older presenting with scalp psoriasis that has not responded adequately to topical treatments — including cases considered severe or recalcitrant.

Treatment Approach

For adults with scalp psoriasis inadequately controlled by topical therapies, a targeted phototherapy-based approach is available as an intermediate step before escalation to systemic medication.

The complete regimen — including specific modality, sequence, and criteria for escalation — is detailed in the full protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.jaad.2019.04.042

Excimer laser (308 nm) is recommended in the treatment of scalp psoriasis in adults.

Excimer lasers have been used with great efficacy in the management of scalp psoriasis, and this treatment may represent a viable intermediate treatment option before starting systemic medication for severe or recalcitrant scalp psoriasis not responding to topical therapies.

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