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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the treatment for psoriasis on scalp?

I have psoriasis in my scalp, but my religion requires I always have a head covering. The odor is unbearable, my children who are close all the time always make a gagging reaction, it smells like a decaying body. I tend to pick at the scales, and it's sticky, causing the odor.
Fri, 27 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Scalp Psoriasis presents as well defined, thick scaly plaques. There can be secondary bacteria infection of the plaques, thus giving rise to oozing and crusting and foul smell.

If I was the treating doctor I would suggest you to wash your scalp at least thrice weekly with coal tar+salicylic acid based shampoo(Ionax-T shampoo).

A course of an oral antibacterial e.g Cephalexin Or Cefadroxil would dry up secondary bacterial infection and oozing/crusting, that might have been causing foul smell.

Psoriasis is a steroid responsive dermatosis and therefore a topical steroid + salicylic acid based lotion, twice daily would help in loosening up the scales as well as resolve psoriatic lesions.

Hope this helps
Regards
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