Treatment of Psoriasis in Scalp Psoriasis
When psoriasis presents on the scalp, the clinical approach differs from generalised plaque disease. This protocol addresses the specific management strategy supported by evidence for scalp psoriasis.
This protocol applies to patients with psoriasis in whom disease activity is localised to the scalp — a common and distinct presentation requiring targeted topical therapy rather than a generalised systemic approach.
Evidence supports topical vitamin D analogue therapy as a key first-line intervention for scalp psoriasis. The full protocol specifies which formulations are recommended, the treatment course, and the clinical decision points involved.
Complete regimen details — including agent selection, sequencing, and treatment duration — are available in the full structured protocol.
References
DOI: 10.1016/j.jaad.2020.07.087
- The use of class 1-7 topical corticosteroids for a minimum of up to 4 weeks is recommended as initial and maintenance treatment of scalp psoriasis.
- Use of calcipotriene foam and calcipotriene plus betamethasone dipropionate gel is recommended for 4-12 weeks for the treatment of mild to moderate scalp psoriasis.