Professional Hair Care: Dealing with Scalp Conditions

Professional Hair Care: Dealing with Scalp Conditions

Professional Hair Care: Dealing with Scalp Conditions

Posted on May 7th, 2024.

Scalp conditions can be a source of frustration and discomfort, but with the right professional care, relief is within reach.

From alopecia areata to scalp psoriasis, understanding these conditions and their treatments is crucial for restoring scalp health and promoting hair growth.

Let's delve into some common scalp conditions and the professional interventions that can make a difference.

Alopecia Areata

Alopecia areata is an autoimmune disorder that manifests as patchy hair loss, often causing significant distress and impacting self-esteem. This condition occurs when the immune system mistakenly attacks hair follicles, leading to hair loss in localized areas of the scalp. While the exact cause of alopecia areata remains unclear, genetic predisposition and environmental factors are believed to play a role in its development.

For individuals grappling with alopecia areata, seeking professional treatment is crucial for managing symptoms and promoting hair regrowth. One of the primary goals of treatment is to suppress the abnormal immune response that triggers hair loss. Corticosteroids are commonly prescribed to reduce inflammation and suppress immune activity in affected areas of the scalp. Topical immunotherapy, another effective treatment option, involves applying chemicals such as diphencyprone (DPCP) or squaric acid dibutyl ester (SADBE) to the scalp, prompting an immune response that may stimulate hair regrowth.

In addition to corticosteroids and immunotherapy, other medications may be prescribed to address alopecia areata. These may include minoxidil, a topical solution that can promote hair regrowth, or oral medications such as methotrexate or cyclosporine, which work to modulate the immune system.

While treatments for alopecia areata can help manage symptoms and encourage hair regrowth, it's important to note that responses to treatment can vary widely among individuals. Some may experience significant improvement with treatment, while others may have more limited results. Additionally, hair regrowth may be temporary, and ongoing treatment may be necessary to maintain results.

Scalp Psoriasis

Scalp psoriasis is a chronic autoimmune condition characterized by red, itchy, and scaly patches on the scalp. These symptoms can range from mild to severe and may cause significant discomfort and embarrassment for those affected. While the exact cause of scalp psoriasis remains unknown, it is believed to result from an overactive immune response that triggers inflammation and excessive skin cell turnover.

Managing scalp psoriasis requires a multifaceted approach aimed at reducing inflammation, soothing irritation, and promoting healthy skin renewal. Professional treatment options are available to help individuals effectively manage their symptoms and improve their quality of life.

Topical corticosteroids are often prescribed to reduce inflammation and alleviate itching associated with scalp psoriasis. These medications work by suppressing the immune response and reducing the activity of inflammatory substances in the skin. In addition to corticosteroids, vitamin D analogues such as calcipotriene may be recommended to help regulate skin cell growth and reduce scaling.

For individuals with more severe or refractory scalp psoriasis, systemic medications may be necessary to achieve adequate control of symptoms. These medications, which may include oral immunosuppressants or biologic therapies, work to modulate the immune system and reduce inflammation throughout the body.

Seborrheic Dermatitis

Seborrheic dermatitis is a chronic inflammatory skin condition that commonly affects the scalp, causing symptoms such as dandruff, redness, and scaly patches. This condition arises from a combination of factors, including the overproduction of oil (sebum) by the sebaceous glands, an overgrowth of yeast known as Malassezia, and an abnormal immune response.

Dealing with seborrheic dermatitis requires a comprehensive approach aimed at reducing inflammation, controlling yeast overgrowth, and restoring scalp health. Professional intervention is essential for effectively managing symptoms and preventing flare-ups.

Antifungal creams or ointments containing ingredients such as ketoconazole or ciclopirox are commonly prescribed to combat the overgrowth of Malassezia and reduce scalp inflammation. These topical treatments help alleviate itching and flaking, promoting a healthier scalp environment.

Medicated shampoos formulated with active ingredients like coal tar, salicylic acid, selenium sulfide, or zinc pyrithione are also effective in managing seborrheic dermatitis. These shampoos work to remove excess oil, dead skin cells, and yeast from the scalp, reducing flakiness and improving overall scalp health. Regular use of medicated shampoos can help control symptoms and prevent recurrence of flare-ups.

Tinea Capitis (Scalp Ringworm)

Tinea capitis, commonly known as scalp ringworm, is a fungal infection that affects the scalp and hair follicles. Despite its name, tinea capitis is not caused by a worm but by various types of fungi, including Trichophyton and Microsporum species. This contagious condition can lead to scaly patches, hair breakage, and hair loss if left untreated.

Eradicating tinea capitis requires prompt and targeted treatment to eliminate the fungal infection and restore scalp health. Professional intervention is essential for accurate diagnosis and effective management of this condition.

Oral antifungal medications, such as terbinafine or griseofulvin, are often prescribed to eradicate the fungal infection from within the body. These medications work by inhibiting the growth of the fungi responsible for tinea capitis, ultimately clearing the infection and preventing its spread to other areas of the scalp or body.

In addition to oral antifungal medications, medicated shampoos containing antifungal agents like ketoconazole or selenium sulfide may be recommended for topical treatment of tinea capitis. These shampoos help eliminate fungi from the scalp surface, reduce inflammation, and alleviate symptoms such as itching and flaking.


Folliculitis is a common condition characterized by inflammation of the hair follicles, leading to the development of small, red bumps or pustules on the scalp. This inflammatory response can occur due to bacterial, fungal, or viral infections, as well as other factors such as friction from tight clothing or excessive sweating.

Addressing folliculitis requires a targeted approach aimed at reducing inflammation, eliminating the underlying cause of infection, and promoting healing of the affected hair follicles. Professional intervention is essential for accurate diagnosis and effective management of this condition.

Topical treatments are often prescribed to reduce inflammation and control bacterial or fungal overgrowth associated with folliculitis. Antibacterial or antifungal creams, lotions, or shampoos containing ingredients such as benzoyl peroxide, antibiotics, or antifungal agents may be recommended to alleviate symptoms and promote healing of the affected follicles.

Lichen Planopilaris

Lichen planopilaris (LPP) is a rare form of lichen planus that affects the scalp, leading to scarring and irreversible hair loss if left untreated. This inflammatory condition occurs when the body's immune system mistakenly attacks hair follicles, causing inflammation and destruction of these structures over time. The exact cause of lichen planopilaris remains unclear, but genetic predisposition and autoimmune factors are believed to play a role in its development.

Halting the progression of lichen planopilaris requires early intervention and targeted treatment to suppress inflammation, prevent further damage to the hair follicles, and preserve existing hair growth. Professional care is essential for accurate diagnosis and management of this condition.

Corticosteroids are often prescribed as the first-line treatment for lichen planopilaris to reduce inflammation and halt the autoimmune attack on the hair follicles. Topical corticosteroids may be applied directly to the affected areas of the scalp to alleviate symptoms and slow the progression of scarring alopecia. In more severe cases, oral corticosteroids or steroid injections may be necessary to achieve adequate control of inflammation and prevent further hair loss.

In addition to corticosteroids, other medications may be prescribed to manage lichen planopilaris and promote scalp health. Retinoids, such as isotretinoin or acitretin, may be recommended to modulate the immune response and reduce inflammation in the affected follicles. Immune response modifiers, such as hydroxychloroquine or methotrexate, may also be used to suppress the immune system and prevent further damage to the hair follicles.

Related: Most Common Hair and Scalp Problems: Causes and Treatment


These conditions vary in severity and symptoms, emphasizing the importance of personalized care from a qualified professional. Regular consultations with a trichologist or dermatologist can aid in accurate diagnosis and tailored treatment plans, offering hope for those experiencing scalp discomfort or abnormal hair loss.

Don't let scalp conditions dictate your confidence and comfort. Seek professional care to address your concerns and reclaim healthy, vibrant hair. At La Pearl Beauty Emporium Inc, we specialize in comprehensive hair trichology services aimed at restoring scalp health and promoting hair growth. Book your consultation today! You can also reach us at (215) 387-8232 or via email at [email protected] for more information.

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