Psoriasis on the head

The most common form of psoriasis is psoriasis on the head - this is an extremely unpleasant pathology, to which the term "scaly lichen" is also applied. The disease has a chronic, periodically exacerbating, course.

[1], [2], [3]

Epidemiology

Psoriasis on the head is found in 2.5% of other diseases in humans. At the same time among the total number of patients with psoriasis, scalp disease occurs in more than half of patients, which makes it possible to relate the disease to the most common type of psoriasis.

There are data that over the past decade the number of patients with psoriasis of the head has multiplied. This is connected, mainly, with the increase of stress among the population.

[4], [5], [6], [7], [8]

Causes of the psoriasis on the head

What explains the appearance of psoriasis on the head? The main reason is considered to be the disorder of metabolic processes, however, scientists have not yet given a clear answer to the question of the origin of the disease. Only theories that are an assumption are advanced:

• causes may be immune malfunctions - in particular, of a genetic nature;
• other causes are considered disorders of metabolic and immune processes caused by nervous tension, eating disorders, infections, climatic features, alcohol abuse.

All scientists and medical specialists are united in one: psoriasis on the head is a polyethological disease, which can not have one specific cause, but there are a number of factors, the confluence of which determines the development of the disease.

[9], [10]

Risk factors

• Metabolic disorders.
• Failure of endocrine function.
• Violations of the immune defense.
• Chronic inflammatory processes, infections.
• Hormonal disorders (puberty, pregnancy, menopause, long-term use of contraceptives).
• Mechanical damage to the scalp.
• Diseases of the digestive system.
• Frequent and prolonged stress.
• Effects of cold, hypothermia of the head.
• Chronic intoxication.
• Acceptance of some medications.
• Alcoholism, excessive consumption of alcoholic beverages.

[11], [12], [13], [14]

Pathogenesis

In fact, psoriasis on the head is the result of a unique response of the body to any irritating factors, which leads to excessive reproduction and growth of cellular structures of superficial skin layers.

Usually the average duration of the cycle of division (multiplication) of cellular structures can be about 24-26 days. With psoriasis of the head, the process is accelerated, and the cycle becomes shorter by 20 days. As a result, old cells do not have time to die, there is a thickening and layering of tissues, which provokes the onset of the inflammatory process. Inflamed foci have the form of light pink elevations, having on top characteristic light scales of epithelial tissue.

With the progression of the disease, the elevations are joined together, taking the form of large pink-red spots of various shapes.

Epithelial scales and crusts in the hair growth zone do not affect their quality and do not lead to alopecia.

[15], [16], [17], [18], [19], [20], [21]

Symptoms of the psoriasis on the head

The first signs of psoriasis of the scalp are the appearance of small nodules of pinkish hue, oval-rounded configuration, which have characteristic small scaly elements on their surface. Nodules expand over time, merge, turning into densified, flaky spots.

In general, psoriasis on the head is characterized by the following symptoms:

• the initial stage of the disease often goes unnoticed, since it does not cause any negative feelings in the patient;
• with the beginning of the stage of peeling of the surface crust, patients notice the appearance of itching and other unpleasant sensations;
• When the inflammation develops, the itching becomes worse, the skin becomes red and irritated;
• if the patient scratches the itchy areas on his head, then visually one can observe the appearance of wounds, cracks, scratches;
• over time, the clinical picture of psoriasis is aggravated, the spots become more extensive, the skin in the lesions is coarsened and covered with a dense crust;
• dying flakes periodically fall away, which gives the impression of the appearance of profuse dandruff;
• itching intensifies, and "dandruff" becomes large, resembling light flakes;
• the skin becomes sensitive, it can easily be damaged even by careless movement of the comb;
• in the phase of the increase in symptoms, white flakes turn into grayish, and gradually spread over the entire surface of the scalp;
• if psoriasis on the head is not treated, then over time the lesion will spread beyond the hairline.

Psoriasis in the child on the head

The course of psoriasis on the head in children is somewhat different from that of adult patients. The differences can be the following:

• redness of spots on the skin is more pronounced and noticeable;
• the affected skin becomes soft and moist (macerated);
• the scaly layer is observed only in certain areas of lesion, and it has the property of easily peeling off.

In the smallest patients, psoriatic rashes may look like small patches of diaper rash. Psoriasis on the head in children usually takes a long time: while curing the disease is much more difficult than in adults.

Exacerbation of psoriasis on the head

Exacerbation of psoriasis is often caused by severe stress, hypothermia, or drinking alcohol. Also, the disease has a tendency to seasonal exacerbations - it can be winter, summer or off-season.

The period of exacerbation is characterized by increased itching, marked reddening of the spots, worsening of the general well-being of the patient. Constant itching can provoke the appearance of insomnia, irritability, drowsiness.

As a rule, therapeutic measures for psoriasis of the head begin to be carried out during the period of exacerbation. After the symptoms subsided, prevention is limited to possible subsequent relapses.

[22], [23], [24], [25]

Stages

• Progressive stage, with the appearance of new rashes and growth of the previous ones.
• The stationary stage, when new spots do not appear, but the old ones do not disappear.
• The regressive stage, with a gradual subthreshold of symptoms and the replacement of scaly bumps with subtle depigmented spots.

[26], [27], [28]

Forms

Psoriasis on the head is of two types:

• Light form - with single small tubercles covered with rough crusts;
• Heavy appearance - with a complete lesion of the hairy zone, with thick crusts of relatively large size.

In addition, sometimes the type of disease is distinguished relative to the seasonality of the development of exacerbations. So, psoriasis can be off-season, winter or summer.

[29], [30], [31]

Complications and consequences

Completely cure psoriasis of the head is almost impossible - this pathology is considered chronic, with periodic exacerbations. Often patients, losing hope for a cure, fall into depression, become withdrawn and avoid contact with others. However, the difficulties do not end there - if you ignore the treatment of the disease, you can have much more serious consequences:

• psoriatic arthritis - arthritis;
• psoriatic lesion of the filtration system of the kidneys - glomerulonephritis;
• psoriatic inflammation of the liver tissue - specific hepatitis;
• post-psoriatic metabolic disturbances - the failure of metabolic processes in cells and tissues.

In addition, sometimes psoriasis of the head proceeds according to the type of erythroderma, with damage to the hair follicles. In the absence of proper treatment, this form of the disease can be accompanied by copious loss of hair.

[32], [33], [34], [35], [36]

Diagnostics of the psoriasis on the head

To properly prescribe the treatment, the physician must first conduct a comprehensive sequential diagnosis to confirm the presence of psoriasis of the head and determine the degree of psoriatic lesion.

Usually the diagnosis begins with the examination and questioning the patient:

• collection of complaints;
• examination of affected skin;
• a description of the medical history, as well as the collection of information on other concomitant diseases.

The first signs, which the doctor will pay special attention to:

• The phenomenon (sign) of the stearin stain is the formation over the tubercles of supple light-silvery scales that gently separate when scraping;
• a sign of the psoriatic film is the exposure of the glossy-red surface when trying to scrape off the scales;
• a sign of spot bleeding ("bloody dew") - is a consequence of the first two of the above listed signs, when after removing the scales and the appearance of the psoriatic film, a dotted discharge of blood appears.

The period of the regressing stage is determined on the basis of Voronov's sign - the appearance on the border of a psoriatic stain and a healthy skin of a light line.

Analyzes can be assigned to clarify the diagnosis:

• micro-examination of crusts removed from psoriatic tubercles;
• cutaneous biopsy with further histology.

Instrumental diagnosis is relevant only in the development of complications in the form of psoriatic arthritis.

[37], [38], [39], [40], [41], [42], [43], [44]

Differential diagnosis

Differential diagnostics can be conducted:

• with seborrheic dermatitis;
• with rosacea;
• with red hair follicles;
• with dermatomyositis, etc.

Most often psoriasis of the head is differentiated from seborrheic dermatitis, which sometimes can create certain difficulties due to the commonness of clinical and histological manifestations. If accurate diagnosis is impossible, doctors can put a combined diagnosis of "seborrheic psoriasis".

In addition to the above, differentiation is also carried out with a rather rare disease, asbestos-like lichen, which is considered to be one of the forms of streptoderma. The disease is characterized by the appearance of large scales, in color resembling asbestos.

[45], [46], [47], [48]

Treatment of the psoriasis on the head

Therapeutic measures are included in the complex scheme of therapy and represent such purposes as general medicinal treatment, external application of drugs, physiotherapy.

General medicamental treatment involves the use of such drugs:

• Enzymes and hepatoprotectors are prescribed for digestive disorders, and a hepatoprotector such as Lycopid, among other things, helps to improve the functioning of the immune system.

	Dosing and Administration	Side effects	Special instructions
Lycopid	The tablet is dissolved under the tongue, 2-3 times a day for 10 days.	Short-term fever.	The drug should not be taken concomitantly with adsorbents, antacids and GCS.
Karsil	Take 2-4 tablets three times a day, for 3-4 months.	Possible nausea, allergies.	With caution, prescribe the drug for hormonal imbalance associated with estrogen.

• Antihistamines are used for exacerbation of psoriasis of the head to eliminate itching. In addition, antihistamines have a small sedative effect, which helps to avoid insomnia and irritability.

	Dosing and Administration	Side effects	Special instructions
Fenkarol	Take after meals, from 25 to 50 mg three times a day, for 2-3 weeks.	Thirst, vomiting, drowsiness, pain in the head. Allergy is also possible.	Fenicarbon should be taken with caution in inflammatory diseases of the digestive system.
Telfast	The daily amount of the drug can be from 120 to 180 mg at a time.	Pain in the head, fatigue, apathy.	Use with caution in severe liver or kidney disease.

• Vitamins, which are prescribed for the treatment of psoriasis on the head, must necessarily have cholecalciferol - D3. Such complex preparations include Calcium D3 Nycomed, Wigantol, Aquadetrim, Vitamin D3 Bon, Videchol.

During the period of remission, it is possible to prevent Alfa-D3 Teva, Osteotriol, and Roctaltol, 1 unit each. Once a day.

In addition to similar preparations for specific purposes, it is allowed to take the usual vitamin complexes Multitabs, Vitrum, Alphabet, etc., which also contain cholecalciferol.

Despite the fact that cholecalciferol is very necessary for a person, especially with psoriasis, but the excess of this vitamin can do much harm. The fact is that D3 is a fat-soluble vitamin that is capable of accumulation in the body. Therefore, do not take several vitamin drugs at the same time.

• Immunosuppressors help to work the immune defense system. To such preparations it is possible to carry Sandimmun and Ciclosporin-A. These are sufficiently specific drugs that have a large number of adverse events, so they should only be prescribed by a doctor.

	Dosing and Administration	Side effects	Special instructions
Sandimmun	The drug is prescribed strictly individually, from 2.5 to 5 mg per kg of body weight per day. The duration of therapy is usually 6-8 weeks.	The severity of side effects depends on the dose taken. Possible pressure changes, oppression hemopoiesis, impaired consciousness, endocrine disorders, weight gain, swelling.	Sandimmun should not be used concurrently with Tacrolimus and Rosuvastatin.
Cyclosporin A	The drug is used inside or in the form of intravenous injections. Dosage - individual.	Increased blood pressure, tremor, excessive hair, menstrual irregularities, muscle cramps.	The drug is prescribed and used only under the supervision of a qualified medical specialist.

• Biopreparations are medicines, the action of which is directed at suppressing those immunity factors that act against one's own organism. Among the biologics used in psoriasis on the head, Alephaffcept, Infliximab and Ustekinumab are especially popular. These drugs inhibit T-lymphocyte activity.
• Enterosorbents are used in the stage of exacerbation to reduce the intoxication of the body.

	Dosing and Administration	Side effects	Special instructions
Entereroz	The drug is taken by mouth, previously dissolving 2.5 g of powder in 50 ml of water.	Nausea, allergic reaction.	Between reception Entereroz and other medications should pass at least 1-2 hours.
Enterosgel	Take 1 hour before or 1.5 hours after meals, 1.5 tablespoons, with water.	Sometimes - nausea, difficulty defecation.	Do not take the drug at the same time with other medicines, as this can slow down their absorption.

• Antimicrobial drugs can be prescribed in the event that a psoriatic eruption on the head is joined by an infectious process. In this situation, the doctor can prescribe antibiotic therapy with penicillin drugs, macrolide antibiotics and cephalosporins. In viral infections, treatment with interferon is indicated.
• Nonsteroidal anti-inflammatory drugs with psoriasis on the head can help remove pain, and also "pacify" the inflammatory response.

	Dosing and Administration	Side effects	Special instructions
Nurofen	Take inside 1 tablet three times a day, with water.	Rarely can there be abdominal pain, enterocolitis, headache, shortness of breath.	The course of treatment with the drug should be short, preferably not more than 10 days.
Xsefokam	Take 8 to 16 mg per day, divided by 2-3 times.	Pain in the stomach, indigestion, dizziness, fatigue, insomnia, allergic rashes.	Do not take several non-steroidal anti-inflammatory drugs at the same time.

Any medicines have their positive and negative sides. Therefore, it is difficult to determine the most effective means of psoriasis on the head: they are usually chosen by the doctor during the treatment. Moreover, one drug can often be prescribed, which is subsequently replaced by another. So it is chosen exactly the medicine that is most effective for the given organism and in this particular case of psoriasis.

External preparations of psoriasis on the head

External treatment for psoriasis on the head includes the use of mazepodobnyh and cream-like drugs, as well as sprays and shampoos of local action. Such drugs may contain hormonal and non-hormonal components, as well as vitamins, necessary for the restoration of damaged skin.

• Ointments from psoriasis on the head may contain corticosteroids or keratolytic components, depending on the severity of the course of the disease.

Salicylic ointment for psoriasis on the head
Mode of application	Apply 2% ointment up to 3 times a day, for 1-3 weeks.
Side effects	Dryness of the skin, the development of contact dermatitis.
Special instructions	When applying, avoid contact with eyes and mouth.

Serum ointment with psoriasis on the head
Mode of application	Apply to the skin up to 3 times a day.
Side effects	Allergy.
Special instructions	The drug can not be combined with hydrogen peroxide and potassium permanganate solution.

Lorinden's Ointment for Psoriasis
Mode of application	Ointment is applied to the affected area up to 3 times a day, but not more than 3 consecutive weeks.
Side effects	Dryness and atrophy of the skin, pigmentation.
Special instructions	The drug is not suitable for long-term use.

• Creams for psoriasis on the head are selected depending on the stage of the disease, since the basis of such drugs can differ, from vitaminized to hormonal composition.

Dovonex cream from psoriasis on the head
Mode of application	Apply twice a day, for one and a half months.
Adverse Events	May cause an allergy.
Special instructions	Dovoneks is not used in an acute period and with pustular psoriasis.

Acquired from psoriasis on the head
Mode of application	Apply a small layer at night, washed off in the morning. Duration of treatment - up to 4 months.
Adverse Events	Herbal preparation, practically devoid of side effects.
Special instructions	Used in remission.

External preparations, be it cream or ointment, can not be applied to healthy skin. Also, remember that any remedy can cause an allergic reaction, so before starting treatment, you must apply a test amount of the drug to a small area of the affected skin. If the condition does not deteriorate within 24 hours, the drug can be used.

[49], [50], [51], [52]

Spray from psoriasis on the head

This form of drug, like a spray, is extremely simple and convenient to use. To treat the skin on the head, a special nozzle is used, the preparation is sprayed evenly and leaves almost no traces.

Spray is used vertically, previously shaking, about 2-3 times a day. Treatment with sprays usually last 1-1.5 months, until a persistent effect is achieved.

1. "Harmony of pure metals" is a series of skin care products that are actively used to treat psoriasis on the head. Spray lotion reduces the sensation of itching, reduces flaking, inhibits the activity of pathogenic microorganisms, inhibits the growth of crusts on psoriatic spots.
2. Belosalik - a spray-lotion based on betamethasone and salicylic acid. The product perfectly eliminates unpleasant itching sensations, reduces flaking. Thanks to Belosalik, the skin becomes cleaner and softer.
3. Betasalin - a spray with glucocorticosteroids betamethasone. Eliminates inflammation and redness, improves blood circulation in tissues, promotes rapid healing of small lesions.
4. Spray 999 - a drug that is used outside the stage of exacerbation to prevent relapse. Can be used as a means for daily care of skin.

Therapeutic shampoos from psoriasis on the head

Outwardly it is possible to carry out maintenance treatment of psoriasis on the head with the help of shampoos. Such funds can be bought in almost any pharmacy, even without having a medical prescription.

Therapeutic shampoos can differ in the mechanism of action and composition.

• Means with antifungal activity - for example, "Nizoral" is recommended to use up to 3 times a week, each time keeping on the scalp for at least 5 minutes. Otherwise, these shampoos are used by analogy with conventional detergents. The total duration of treatment with antifungal shampoo is up to 1 month.
• Means for washing the head on the basis of tar - "Psorilom", "Tar", "Algopix", "Friederm" help to remove itching and dry psoriatic stains. Shampoo is kept on the head for several minutes after application. Apply courses for 3 weeks, with a break for 1 month.
• Special antipsoriatic shampoos - the Skin Cap series are used once a week. This is sufficient for a quality antifungal, anti-inflammatory and antibacterial effect.

Physiotherapeutic treatment

In combination with the main treatment, the use of physiotherapy is welcomed. Depending on the indications, the following procedures are possible:

• PUVA-therapy is a kind of physiotherapy with the use of photoactive substances simultaneously with the irradiation of the skin with long-wave ultraviolet;
• UFO is a local dose irradiation of the skin with ultraviolet rays;
• hydrotherapy - hydrotherapy, which is carried out in order to accelerate the recovery and recovery of tissues;
• Erbium laser method - is a procedure of laser resurfacing, during which the beam layer-by-layer eliminates (evaporates) the dead epithelial layer;
• hemosorption is a procedure for purification of blood from toxic substances, with simultaneous regulation of homeostasis;
• plasmapheresis is the most modern method of blood filtration with the use of special equipment.

As an auxiliary treatment it is recommended to rest at sea resorts, visit specialized sanatoriums and clinics where heliotherapy, mud therapy, healing hydrogen sulfide procedures are actively practiced.

Treatment of psoriasis on the head at home

Treatment of psoriasis on the head is usually performed at home: hospital treatment is indicated only in advanced complicated cases. It is important to comply with all the prescriptions of the doctor, do not forget about diet and proper scalp care:

• periodically, courses should be applied therapeutic antipsoriatic shampoos, and in the intervals between the courses to use soft children's detergents;
• use soft combs and brushes made of natural materials;
• do not forget to treat the skin daily;
• Try not to damage the forming crusts;
• During an exacerbation it is necessary to wait with difficult stylings, a wave, painting of hair and t. The procedures;
• if psoriasis on the head is difficult and often requires the use of external medicinal products, it is recommended that the hair be cut shortly to facilitate the care of them, and to minimize the risk of damage to the painful areas of the skin.

For the early relief of the condition, alternative medicine can be used.

Alternative treatment

1. Grind 100 g of fresh celandine, separate the juice, add to it 10 ml of natural red wine (the wine should be dry). Damaged skin should be treated with the product obtained, wait 20 minutes and rinse well.
2. Grass turn 300 g grind, pour 100 ml of dry wine, insist 2 days. After that, squeeze the liquid and apply it to the affected skin. The resulting drug can also be used to lubricate crusts.
3. Mix 50 g of Vaseline oil, 50 g of solidol, raw egg white, 1 tbsp. L. Natural honey and 1 tbsp. L. Celandine juice. Daily lubricate affected areas.
4. Collect an arbitrary number of thin branches of dog rose, set it on fire. The ash is cooled, put into a container, mixed with an equal amount of petroleum jelly and used to lubricate psoriatic plaques. With daily use, the improvement becomes noticeable after 6-8 days.

[53], [54], [55]

Lotion of psoriasis on the head

Lotions from psoriasis are increasingly popular among the sick, as such products are very convenient to use, do not require washing and do not damage the appearance of the hair. Lotions, as a rule, apply daily, evenly moistening hair and scalp.

Let's list the most common varieties of lotions from psoriasis on the head.

• Sulfomik lotion.
• Alaseptic lotion.
• Belosalik lotion.
• Diavoneks (based on calcipotriol).
• Diprosalik (based on betamethasone and salicylic acid).
• Elokom (mometasone furoate).
• Pso EASY lotion.
• Calamine (based on zinc oxide and calamine).

Masks from psoriasis on the head

A positive effect on psoriasis on the head is noticed after applying a mask based on kefir. You can prepare it as follows:

• warm the kefir and apply it to the places with psoriatic rashes;
• We cover the head with a cellophane film and put on a hat;
• smoem in 20 minutes with tar tar shampoo.

You can also prepare a mask from these components:

• tea tree oil (5 drops);
• raw egg yolk;
• a spoonful of birch tar;
• a spoon of castor oil;
• capsules with oil solution Aevit;
• spoon of Dimexide.

Components are mixed and applied to problem areas of the skin in the morning, once a day.

Another mask, which is best done at night:

• wet the hair with water until it is wet;
• we put onion on the affected areas grated on a small grater onion;
• we wrap the head with cellophane tape;
• after 20 minutes wash off with a stream of warm water, without the use of detergent.

The mask is considered a good remedy for eliminating psoriasis on the head. But do not forget that the components used in the masks can cause an allergic reaction, thereby exacerbating the condition. Therefore, before using any remedy, you need to make sure that it does not present an allergic danger.

Oil from psoriasis on the head

Not all essential oils and vegetable oils can be used for psoriasis on the head. For example, it is not recommended to use clove, muscat, ginger, fir, cinnamon, eucalyptus oil, but also butter of thyme, citronella, rosemary.

The rest of the oil, as a rule, is bred. The only exception is the tea tree oil used in the concentrated state.

Do not apply oil solutions to the skin immediately before going out in the sun, as this will increase the sensitivity of the skin to ultraviolet rays. If, after application on the scalp, discomfort is felt, then it is better to wash off the product: it may not be suitable for you.

This is the way the most effective oil is selected, because one is suitable for oil of black cumin, and the other is oil of lemon balm or ylang-ylang.

It is not recommended to use essential oils during pregnancy, as studies on the effect of such funds on fetal development have not been conducted.

Tea tree oil with psoriasis on the head

Tea tree oil, which is used for psoriasis, is not diluted, unlike other varieties of essential oils. The drug for several drops every morning is applied to the damaged areas of the psoriasis of the head, regardless of whether the hair grows on the site of application of the oil.

Additionally, tea tree oil can be used by adding to other oil mixtures:

• to a mixture of borage and evening oil;
• to oils of lavender and almonds;
• to an oily mixture of rosemary and bergamot.

A good effect is observed when using simultaneously the oils of tea tree and black cumin. This combination not only eliminates itching, but also promotes resorption of the formed plaques.

Herbal Treatment

Herbs for psoriasis on the head are often used to make baths and rinsing solutions. Herbal treatment helps to soften the scales, moisturize dry skin, cleanse it, and also remove redness and other signs of inflammation.

• Take 200 grams of herb soap, bring to a boil in 1 liter of water, leave on low heat to boil for 15 minutes. Further another 1 hour, we insist, filter and use for trays.

The tray is made in this way: the hairy part of the head is completely immersed in a warm broth, we stand for a quarter of an hour. The procedure is carried out once in two days, during the month.

• Take 200 g of dried yarrow, pour 1 liter of water, boil for 15-20 minutes. We let it brew for an hour. We use it to rinse the head, once every two days for 1 month.
• We prepare a mixture of rhizome chicory 40 g, rhizome of valerian 40 g, grape grass 20 grams, dried berries hawthorn 20 grams, hop cones 20 g, herbs celandine 10 g. Fill 1 liter of water, bring to a boil and stand for 45 minutes, then filter and we use for immersion trays (15 minutes twice a week).
• We prepare the tincture based on the Japanese Sophora. We take 3 tbsp. L. Plants for 0.5 liters of vodka, we insist in the dark 4 weeks. Further we filter, we eject cake, and the medicine is taken 5 ml three times a day. The minimum course of admission is one month.

Purity of psoriasis on the head

The most common way to use celandine with psoriasis on the head is to lubricate the affected areas with the juice of the plant. Indeed, regular application of juice can improve the condition of the skin, but provided that such treatment is carried out for at least 3 months.

Still it is possible to prepare a medicine from celandine which will be applied during all year:

• Fresh grass celandine is ground in a meat grinder, squeezed, and the juice is poured into a separate container;
• juice is defended in a cool place for 4 days;
• the drug is filtered and left in an open fermentation bottle;
• in 20 days the medicine will be ready. It is put in the refrigerator and used as needed, during periods of exacerbation: it is applied to the affected areas, left for 20 minutes, and then washed off with water. The procedure is repeated daily, until a lasting improvement.

Birch tar from psoriasis on the head

Birch tar can be used for the treatment of psoriasis during the period of an abatement of an acute period of the disease.

For the procedure you need pure birch tar, which is applied to the affected areas with a cotton swab. First time will be enough to keep the product on the skin for 10 minutes. Next, for 10 days, the duration of the procedure is increased to 35 minutes or slightly more. After that, the tar is washed off with a stream of warm water, while using tar soap.

It is worth saying that the positive results will become visible only after several such procedures, therefore, treatment should be long, until a stable remission is established.

Certain disadvantages of this type of treatment are the following:

• birch tar has a specific unpleasant odor;
• when exposed to clothing, tar is very poorly washed;
• after application of tar, the skin becomes susceptible to ultraviolet light;
• long-term use of tar can have a negative impact on the work of the kidneys, as well as cause allergies.

Before starting treatment, you should consult with your doctor and make sure that in your case there will be no negative side effects.

[56], [57], [58]

Homeopathy

Homeopathic preparations for psoriasis of the head are prescribed only by a competent doctor who has experience in the use of such drugs.

Good reviews were obtained from patients who treated psoriasis with Psorinocheel and Psoriaten ointment. Psorinochely take 8-10 drops three times a day before meals, for 1-1.5 months. Simultaneously apply Psoriatin ointment - morning, afternoon and at night.

If the skin is strongly irritated, Acidum formicum is recommended, in dilution 3, 6 or 12.

In the presence of small scales on the scalp, Arsenicum album is possible. Dose dilution of the drug determines the doctor, depending on the reaction of the patient's body to the treatment.

If complications arise in the form of psoriatic arthritis, the homeopath can prescribe a remedy like Manganum in 30 hundredth dilution. One granule is diluted in 100 ml of water and taken for 1 tsp. In the morning, half an hour after breakfast.

Good results were noted after taking the American homeopathic drug Loma-Lux-Psoriasis. The drug is taken in quantities from ½ to 2 tsp. In the morning on an empty stomach. In addition, Polyderm is prescribed, 3-5 granules per day, for six months.

Sea salt from psoriasis on the head

Sea salt with psoriasis on the head can be used in the form of trays or masks for the affected areas.

• We take equal parts of white clay (sold in pharmacies) and a large sea salt, add the infusion of succession, bringing the mass to the consistency of sour cream. The mixture is applied to the affected area of the head and covered with a cotton cloth. We withstand 2 hours and rinsed under warm running water. The procedure can be repeated 2-3 times a week.
• Take equal parts of white clay and sea salt, add apple cider vinegar so that the consistency resembles sour cream. We put the mass on the affected areas, we stand for 2 hours and rinse with warm water.
• Take 100 g of sea salt, dissolve it in 5 liters of warm water. We use it as a tray for the scalp. The duration of the procedure is 20 minutes, the frequency - once every three days.

In addition, it is useful to use pure sea salt inside, instead of the usual salt. For this, only the food variant of the product is used, without flavoring agents and color additives.

Diet: what can not be eaten with psoriasis on the head?

At a psoriasis on a head one of the basic moments of treatment the diet is considered. First of all, changes in nutrition are necessary to prevent exacerbations. Food should be taken often, in small portions, and from some products in general it is necessary to refuse:

• from alcoholic beverages;
• from smoked products;
• from fried foods;
• from acute spices;
• from seasonings;
• from citrus and other potentially allergenic products;
• from semi-finished products and products with a large content of artificial ingredients and substitutes;
• from animal fats (lard, fatty meat varieties);
• from margarines, ice cream, coffee, chocolate.

It is desirable to make a diet of foods and dishes with sufficient fiber content - fruits, vegetables, greens. No less useful in psoriasis are fish, sour-milk products and all kinds of cereals. Instead of coffee and cocoa, it is better to drink green tea and fresh juices.

[59], [60]

Prevention

To avoid exacerbation of psoriasis on the head, attention should be paid to preventive measures. First of all, they consist of observing the new rules of nutrition, which we already mentioned. In addition, you should avoid hypothermia, observe the rules of personal hygiene:

• take a shower at least 2-3 times a week, using a special or children's soap or shampoo;
• During washing your head, try not to damage the formed crust;
• Hair should be wiped very carefully, without applying force;
• It is undesirable to use electrical appliances for straightening or curling curls.
• The brush for combing hair should consist only of natural materials. Moreover, it must be cleaned regularly and daily and washed in a disinfectant solution. Undesirable:
• dye hair with chemical dyes;
• use fixative varnishes, gels and foams;
• to dry hair with hot air from the hair dryer.

If you follow simple preventive measures and simultaneously connect all possible types of treatment, then psoriasis can retreat for a long time: the periods of remission are much longer, and exacerbations become a rarity.

[61], [62], [63], [64], [65]

Forecast

Psoriasis on the head is characterized by an unstable course, with intermittent periods of relief of symptoms and its increase. The prognosis, among other things, may also depend on the frequency of relapse of the disease.

It is believed that the most favorable prognosis is the usual, classical course of psoriasis, which has no serious complications and periodically worsens in the off-season.

The unfavorable side of the disease is the social problems of patients, because the unaesthetic appearance of the head is often perceived negatively by others. However, for many it does not matter that the psoriasis on the head is not contagious and is not transmitted to other people. As a result of constant stress, patients with psoriasis often experience depression and neurosis.