Can Psoriasis Cause Hair Loss? Unpacking the Connection

Can psoriasis cause hair loss?
The short answer is yes, but it’s a bit more complex than it seems.
While psoriasis primarily affects the skin, when it appears on the scalp, it can lead to temporary hair loss due to inflammation, scratching, or other related factors.
Let’s dive into why this happens and how you can manage it effectively.

What Is Psoriasis?

Psoriasis is a chronic autoimmune condition that speeds up the life cycle of skin cells.
This results in the buildup of scaly patches, redness, and inflammation on the skin.
While it can occur anywhere on the body, the scalp is one of the most commonly affected areas.

The Role of Scalp Psoriasis

Scalp psoriasis is a specific type of psoriasis that targets the scalp region.
It’s characterized by raised, scaly plaques that can extend beyond the hairline to the forehead, neck, or ears.
Severe cases can lead to intense itching and discomfort, often resulting in scratching.

How Does Psoriasis Cause Hair Loss?

The Scratch-Cycle Effect

When psoriasis affects the scalp, the intense itching can lead to vigorous scratching. This can weaken hair follicles and cause strands to fall out. Over time, excessive scratching may lead to scarring, which can permanently damage the hair follicles.

Inflammation’s Role in Hair Loss

Psoriasis triggers an inflammatory response in the affected area. This inflammation disrupts the normal growth cycle of hair. The hair prematurely enters the shedding phase, resulting in thinning or hair loss.

Hair Loss Due to Treatments

Ironically, some treatments for scalp psoriasis can also contribute to hair loss. Topical steroids, for example, may weaken hair follicles with prolonged use. Additionally, the process of removing scales can sometimes dislodge hair.

Is Psoriasis Hair Loss Permanent?

In most cases, hair loss associated with scalp psoriasis is temporary. Once the condition is under control and the inflammation subsides, hair typically grows back. However, if scarring occurs due to excessive scratching or untreated severe psoriasis, the hair loss could become permanent.

Real-Life Example

Meet Padma, a 32-year-old who has lived with scalp psoriasis for years. During a particularly bad flare-up, she noticed clumps of hair coming out while showering. After seeking treatment and learning how to manage her condition, her hair gradually regrew. Her story highlights the importance of early intervention.

Tips to Manage Psoriasis-Related Hair Loss

Treat the Underlying Psoriasis

Managing the root cause is key to preventing further hair loss. Consult a dermatologist for tailored treatments such as:

• Topical Corticosteroids: Reduce inflammation and itching.
• Salicylic Acid: Helps soften and remove scales.
• Vitamin D Analogues: Slows down skin cell production.

Avoid Scratching

As tempting as it may be, scratching can worsen both psoriasis and hair loss. Instead, try these alternatives:

• Apply a cold compress to soothe itching.
• Use anti-itch shampoos formulated for sensitive scalps.

Be Gentle With Your Hair

Switch to gentle hair care practices to avoid further damage:

• Use a wide-tooth comb to minimize pulling.
• Opt for sulfate-free shampoos.
• Avoid tight hairstyles that strain the scalp.

Keep Your Scalp Moisturized

Dryness can exacerbate psoriasis symptoms and itching. Consider using scalp oils or moisturizers that are safe for psoriasis to maintain hydration.

Protect Your Scalp

Environmental factors like extreme cold or sun exposure can worsen psoriasis. Wear a hat or scarf to shield your scalp when needed.

Can Psoriasis Cause Hair Loss Be Prevented?

While you may not be able to prevent psoriasis-related hair loss entirely, you can take steps to minimize it.

Scalp-Friendly Diet

Nutrition plays a surprising role in scalp health. Focus on anti-inflammatory foods such as:

• Fatty fish like salmon for omega-3s.
• Leafy greens rich in antioxidants.
• Nuts and seeds for vitamin E.

Stress Management

Stress is a common trigger for psoriasis flare-ups. Incorporate stress-relief practices like:

• Meditation
• Yoga
• Regular exercise

When Should You See a Doctor?

If you notice sudden or excessive hair loss, it’s crucial to consult a dermatologist. They can determine whether psoriasis is the culprit or if another condition, such as alopecia areata, is at play.

Final Thoughts

So, can psoriasis cause hair loss? Absolutely, but the good news is that it’s usually temporary with the right care. Understanding the triggers and managing scalp psoriasis proactively can go a long way in protecting your hair. If you’re struggling, don’t hesitate to seek professional help.

By addressing scalp psoriasis early, you’ll not only improve your scalp’s health but also give your hair the best chance to thrive again.

FAQs About Psoriasis and Hair Loss

1. Does Scalp Psoriasis Always Lead to Hair Loss?
   No, not everyone with scalp psoriasis experiences hair loss. It’s often the result of secondary factors like scratching or improper care.
2. How Long Does It Take for Hair to Grow Back?
   Hair regrowth typically begins once psoriasis is under control. This can take several months depending on the severity of the condition.
3. Are There Any Over-the-Counter Solutions?
   Yes, medicated shampoos containing coal tar or salicylic acid can help manage symptoms. However, consult your doctor before trying new products.
4. Can Hair Care Products Trigger Scalp Psoriasis?
   Some hair care products containing harsh chemicals, fragrances, or sulfates may irritate the scalp and trigger psoriasis flare-ups. Switching to gentle, fragrance-free shampoos can reduce the risk.
5. Can Stress-Induced Psoriasis Flare-Ups Cause More Hair Loss?
   Absolutely. Stress is a major trigger for psoriasis flare-ups, and the resulting inflammation can lead to increased hair shedding. Managing stress through relaxation techniques can help minimize this effect.
6. Is It Safe to Dye Hair with Scalp Psoriasis?
   It depends on the severity of your condition. Harsh chemicals in hair dyes may irritate the scalp. Opt for hypoallergenic dyes and perform a patch test before applying.
7. Is hair transplant a suitable option for hair loss caused by psoriasis?
   Hair transplant can be an option for individuals with psoriasis-related hair loss, but certain factors must be considered such as the state and stage of the disease, post-transplant care, etc.

Reference

1. Almeida MC, Romiti R, Doche I, Valente NY, Donati A. Psoriatic scarring alopecia. An Bras Dermatol. 2013 Nov-Dec;88(6 Suppl 1):29-31. doi: 10.1590/abd1806-4841.20132241. PMID: 24346873; PMCID: PMC3875997.
2. George, S.M.C., Taylor, M.R. and Farrant, P.B.J. (2015), Psoriatic alopecia. Clin Exp Dermatol, 40: 717-721. https://doi.org/10.1111/ced.12715