• image.alt
  • With Mayo Clinic dermatologist

    Lawrence E. Gibson, M.D.

    read biography

Mayo Clinic Health Manager

Get free personalized health guidance for you and your family.

Get Started

Free

E-Newsletter

Subscribe to receive the latest updates on health topics. View sample

Question

Scalp psoriasis vs. seborrheic dermatitis: What's the difference?

How does a doctor tell the difference between scalp psoriasis and seborrheic dermatitis of the scalp?

Answer

from Lawrence E. Gibson, M.D.

Scalp psoriasis and seborrheic dermatitis of the scalp can be difficult to differentiate. Both are common conditions that affect the scalp. In addition, they share similar symptoms, such as itchy, red, scaly skin. Fortunately, they also share some similar treatments, such as medicated shampoos. However, scalp psoriasis tends to be more resistant than does seborrheic dermatitis to these treatments.

Most often, the scales of psoriasis are thicker and somewhat drier in appearance than are the scales of seborrheic dermatitis. In addition, psoriasis usually affects more than one area of the body. So if you have scalp psoriasis, you may also have mild psoriasis on your elbows, knees, buttocks or fingers.

There is no single test to confirm a diagnosis of psoriasis or seborrheic dermatitis. A diagnosis is usually made with a visual examination of the affected skin. In rare cases, a skin biopsy may be needed to differentiate between the two disorders.

Scalp disorderSigns and symptomsTreatment
Scalp psoriasis
  • Red patches of skin covered with silvery scales
  • Dry, cracked skin that may bleed
  • Itching, burning or soreness
  • Over-the-counter medicated shampoos, such as those containing ketoconazole, tar, pyrithione zinc, selenium sulfide or salicylic acid
  • Topical solutions, creams or ointments, such as tar products, corticosteroids or vitamin D analogues
  • Light therapy
Seborrheic dermatitis of the scalp
  • Patchy scaling or thick crust on the scalp
  • Yellow or white scales that may attach to the hair shaft
  • Red, greasy skin covered with flaky white or yellow scales
  • Small, reddish-brown bumps
  • Itching or soreness
  • Skin flakes or dandruff
  • Over-the-counter medicated shampoos, such as those containing ketoconazole, tar, pyrithione zinc, selenium sulfide or salicylic acid
  • Topical solutions or creams such as hydrocortisone cream
Next question
Psoriasis diet: Can changing your diet treat psoriasis?

AN01177

Oct. 19, 2007

© 1998-2009 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. "Mayo," "Mayo Clinic," "MayoClinic.com," "EmbodyHealth," "Reliable tools for healthier lives," "Enhance your life," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research.

Print Share Reprints

Text Size: smaller largerlarger