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Scalp psoriasis causes inflamed patches of skin covered with gray or silver scales or thick heavily crusted patches (plaques). You may notice flakes of dead skin in your hair or on your shoulders, especially after scratching your scalp. The scaly patches, which may bleed when removed, may extend beyond your hairline.

Treatment options for scalp psoriasis include corticosteroid gel, foam, lotion or shampoo. This treatment might be combined with a synthetic form of vitamin D, such as calcipotriene (Dovonex, Sorilux).

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