Infant Scalp Psoriasis: Causes, Symptoms, and Best Treatments

Scalp psoriasis is a chronic autoimmune condition that can affect infants and toddlers, causing thick, scaly patches on the scalp. Though less common in babies, it can be mistaken for cradle cap or eczema, leading to misdiagnosis.

For parents, noticing persistent flaking, redness, or irritation on their child’s scalp can be concerning, but the good news is that effective treatments exist.

This article will guide you through:

• What causes scalp psoriasis in infants and toddlers.
• How to identify symptoms and differentiate it from other conditions.
• The best treatment options, including gentle medicated shampoos like Nopsor.
• Tips for daily care and preventing flare-ups.

By understanding and managing scalp psoriasis early, parents can help reduce discomfort and keep their child’s scalp healthy.

Causes of Scalp Psoriasis in Infants and Toddlers

The exact cause of psoriasis is not fully understood, but it is known to be an autoimmune disorder. Several factors contribute to its development:

1. Genetic Factors

• Psoriasis often runs in families.
• If one or both parents have psoriasis, their child is more likely to develop it.

2. Triggers That Can Worsen Symptoms

• Infections: Certain bacterial or viral infections can trigger psoriasis flare-ups.
• Cold, Dry Weather: Low humidity can dry out the skin, making symptoms worse.
• Skin Trauma: Scratching, rubbing, or irritation from hats can lead to flare-ups (Koebner phenomenon).
• Harsh Shampoos or Soaps: Products with fragrances, sulfates, or alcohol can irritate the scalp.

3. How to Minimize Triggers

• Keep the scalp moisturized to prevent excessive dryness.
• Use gentle, hypoallergenic shampoos like Nopsor Shampoo, which is designed for sensitive, psoriasis-prone scalps.
• Dress your child in soft, breathable fabrics and avoid tight hats.

Symptoms of Scalp Psoriasis in Infants and Toddlers

Scalp psoriasis often presents in different ways, making it important to distinguish it from other conditions.

1. Common Symptoms

• Thick, crusty patches on the scalp that look like stubborn dandruff.
• Red, inflamed skin that may extend to the forehead, neck, or behind the ears.
• Itching and discomfort, which may cause fussiness in babies.
• Scaly buildup that does not easily wash away with regular shampoo.

2. Differences from Cradle Cap and Eczema

If symptoms do not improve with cradle cap treatments, consult a dermatologist for a correct diagnosis.

Diagnosing Scalp Psoriasis in Babies and Toddlers

1. Medical Examination

A pediatrician or dermatologist will diagnose scalp psoriasis based on:

• Visual inspection of the scalp.
• Family medical history (psoriasis is hereditary).
• Ruling out similar conditions (cradle cap, fungal infections, or eczema).

2. When to See a Doctor

• If scaling spreads beyond the scalp.
• If symptoms persist despite treatment.
• If the scalp becomes severely inflamed, cracked, or bleeding.

Best Treatments for Infant and Toddler Scalp Psoriasis

There is no cure for psoriasis, but consistent treatment can reduce symptoms and flare-ups.

1. Medicated Shampoos and Topicals

• Coal Tar and Salicylic Acid (e.g., Nopsor Shampoo):
  • Softens thick scales and reduces inflammation.
  • Safe for long-term use when used as directed.
  • Apply gently to the scalp and let it sit before rinsing.
• Mild Corticosteroids (Prescribed by a Doctor):
  • Used for severe cases to reduce inflammation.
  • Should be used only under medical supervision.

2. Daily Scalp Care Routine

• Use Lukewarm Water: Hot water can dry out the scalp.
• Gently Massage the Scalp: Helps loosen flakes without causing irritation.
• Pat Dry – Don’t Rub: Use a soft towel to avoid further irritation.
• Apply a Moisturizer: Use fragrance-free baby lotion or coconut oil after washing.

3. Natural Remedies (Use with Caution)

• Aloe Vera: Soothes inflammation and redness.
• Oatmeal Rinses: Can help relieve itching.
• Coconut Oil: Moisturizes and may soften scales.

Always consult a pediatric dermatologist before trying home remedies.

Preventing Flare-Ups and Long-Term Care

• Use a Humidifier: Helps prevent dryness in the air.
• Trim Nails Short: Prevents babies from scratching and damaging their skin.
• Monitor Triggers: Track foods, infections, and environmental factors that worsen symptoms.

With proper care and treatment, many children experience significant improvement over time.

Conclusion

Scalp psoriasis in infants and toddlers requires patience and consistent care, but it is manageable with the right treatments.

Using gentle medicated shampoos like Nopsor, keeping the scalp moisturized, and avoiding known triggers can reduce symptoms and prevent flare-ups. If symptoms persist, consulting a pediatric dermatologist will ensure your child receives the best care possible.

Reference

• National Psoriasis Foundation: Scalp Psoriasis
  Detailed information on scalp psoriasis, including causes, symptoms, and treatment options.
  https://www.psoriasis.org/scalp-psoriasis/

• American Academy of Dermatology: Childhood Psoriasis
  An overview of psoriasis in children, with a focus on scalp involvement.
  https://www.aad.org/public/diseases/psoriasis/what/childhood-psoriasis