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What's the Difference Between Dandruff and Psoriasis?

Published in Scalp Conditions 2 mins read

Dandruff and psoriasis are both scalp conditions causing flaking, but they differ significantly in their nature and severity. Psoriasis is a chronic autoimmune disease, while dandruff is generally a milder, more manageable condition.

Key Differences: Dandruff vs. Psoriasis

  • Chronicity: Psoriasis is a long-lasting (chronic) condition, while dandruff may come and go. [Source: Multiple sources including WebMD and Cleveland Clinic articles]

  • Appearance: Dandruff presents as small, white or yellowish flakes. Psoriasis often shows up as thicker, silvery-white scales or plaques that can be red and inflamed. In severe cases, psoriasis plaques can bleed. [Source: Multiple sources, including Medical News Today and Vial]

  • Severity: Psoriasis is typically more severe, with symptoms potentially affecting other areas of the body beyond the scalp (elbows, knees, lower back, nails). Dandruff usually only affects the scalp. [Source: Mayo Clinic and GoodRx]

  • Itchiness: Both can be itchy, but psoriasis often causes more intense itching and burning. [Source: Medical News Today]

  • Oiliness: Dandruff is often associated with oily or greasy hair, whereas psoriasis isn't necessarily linked to oiliness. [Source: Psoriasis.org]

  • Treatment: Dandruff often responds well to over-the-counter treatments like anti-dandruff shampoos. Psoriasis often requires stronger treatments prescribed by a dermatologist, including topical corticosteroids, medicated shampoos, or other therapies. [Source: Healthline]

How to Tell the Difference?

The easiest way to distinguish between the two is to consider the following:

  • Body-wide symptoms: Psoriasis frequently affects other parts of the body, such as elbows, knees, or lower back. Dandruff is primarily a scalp condition. [Source: Vial]
  • Scale appearance: Psoriasis scales are thicker, silver, and more firmly attached, while dandruff flakes are smaller, white or yellowish, and easier to remove. [Source: Westlake Dermatology]

If you are unsure whether you have dandruff or psoriasis, it's crucial to consult a dermatologist for a proper diagnosis and treatment plan.

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