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Psoriasis is a common skin condition, characterised by red scaly thickened patches (plaques). It ofen affects the scalp. Scalp psoriasis may occur in isolation or with any other form of psoriasis.

The back of the head is a common site for psoriasis, but multiple discrete areas of the scalp or the whole scalp may be affected. Scalp psoriasis is characterised by thick silvery-white scale over well-defined red thickened skin. Psoriasis may extend slightly beyond the hairline.

Scalp psoriasis, even though often adequately camouflaged by the hair, is often a source of social embarrassment due to flaking of the scale and severe 'dandruff'. Scalp psoriasis may not cause any symptoms at all or may be extremely itchy. It tends to be a chronic problem, lasting many years, although it often fluctuates in severity and extent.

In very severe cases there may be some temporary mild localised hair loss but scalp psoriasis does not cause permanent balding.

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