Scalp Psoriasis and Hair Loss — Is It MPB or TE?

Hi Doctor,

I’ve searched the forums and I wasn’t able to find any questions regarding this issue that I have. I was diagnosed with scalp psoriasis about 3 months ago. I noticed it about 4-5 months ago but just assumed that it was nothing as it wasn’t that much of an issue. Than about 3 months ago my hair began shedding rapidly. I would just gently touch my hair and hairs would fall out with the bulb at the end. I’m still losing hair rapidly, and I think it’s only gotten worse. If I just gently pull about 20 hairs or so more than 2-3 hairs usually come out all with the bulb. Do you think this is telogen effluvium or just male pattern baldness? Also when you lose hair due to MPB do they have a white bulb at the end? Thanks for your time.

First, psoriasis does not cause hair loss. If you have hair loss, you need to be examined by a doctor who knows how to differentiate the different causes of hair loss. I can not tell you what is happening and even based upon what you write, I am hesitant to guess. See a good dermatologist for an examination.