Persistent itching, flaking, or redness on the scalp can be frustrating — especially when it starts affecting comfort or confidence. Many people assume it’s just dandruff, but sometimes, it may be something more complex, such as scalp psoriasis.
At Dr. Rami Hamed Center (DRHC) in Dubai, our dermatology specialists see many patients who struggle with these concerns and want to understand the difference — and more importantly, how to treat it effectively.

Let’s take a closer look at what causes dandruff and scalp psoriasis, how to tell them apart, and the best treatment options available in Dubai.

Understanding the Difference Between Dandruff and Scalp Psoriasis

Dandruff: A Common Scalp Concern

Dandruff is very common and usually caused by an overgrowth of a natural yeast on the scalp, called Malassezia, or by excess oil production. This leads to mild irritation and flaking.
Typical signs of dandruff include:

• White or yellowish flakes on the scalp or hair
• Itchy scalp without significant redness or thick scaling
• Symptoms that improve with medicated shampoos

Dandruff is not contagious and often responds well to over-the-counter or prescription treatments when used correctly.

Scalp Psoriasis: A Chronic Skin Condition

Scalp psoriasis, on the other hand, is a chronic inflammatory condition. It occurs when the immune system causes skin cells to multiply too quickly, leading to thick, scaly patches on the scalp and sometimes beyond the hairline.

Common symptoms include:

• Thick, silvery-white scales or plaques on the scalp
• Red, irritated skin that may feel sore or itchy
• Flakes that stick to the hair and don’t easily brush off
• Occasional bleeding or discomfort when scratching

Scalp psoriasis can vary from mild to severe and may come and go in cycles. While there’s no permanent cure, effective treatments can control symptoms and significantly improve scalp health.

Treatments for Scalp Psoriasis & Dandruff at DRHC Dubai

At Dr. Rami Hamed Center, treatment begins with a thorough scalp assessment to determine the underlying cause — whether it’s dandruff, psoriasis, or a combination of both. Once diagnosed, our dermatologists create a personalized treatment plan to calm inflammation, reduce flaking, and restore scalp comfort.

1. Medicated Shampoos and Topical Treatments

Specialized shampoos containing ingredients such as salicylic acid, coal tar, zinc pyrithione, or ketoconazole help reduce inflammation, itching, and scaling.
For psoriasis, topical creams or ointments containing corticosteroids, vitamin D analogues, or retinoids may also be prescribed to slow down excessive skin cell production.

2. Scalp Care Therapies at DRHC

Our dermatology department offers scalp detox and cleansing treatments that remove dead skin buildup, soothe irritation, and promote healthy skin renewal. These can be combined with medical treatments to enhance results and provide relief from itching or flaking.

3. Light Therapy (Phototherapy)

For moderate to severe scalp psoriasis, UV light therapy can be highly effective. Controlled exposure to ultraviolet light helps slow down skin cell turnover and reduces inflammation. This treatment is performed under professional supervision for maximum safety and comfort.

4. Oral or Injectable Medications

In more resistant cases, systemic medications may be prescribed. These work internally to control inflammation and regulate the immune response. Modern biologic therapies can also be considered for severe psoriasis that doesn’t respond to topical treatments.

5. Lifestyle & Home Care Recommendations

In addition to medical treatment, certain daily habits can help keep your scalp healthy:

• Use mild, fragrance-free shampoos between medicated washes
• Avoid scratching the scalp, which can worsen inflammation
• Manage stress, as flare-ups are often linked to emotional strain
• Keep your scalp moisturized to reduce dryness and itching

At DRHC, our dermatologists guide each patient with practical home care tips tailored to their specific condition and scalp sensitivity.