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February 1991

Epilyt for Scalp Psoriasis

Author Affiliations

Department of Dermatology Harvard Medical School Massachusetts General Hospital Boston, MA 02114

Arch Dermatol. 1991;127(2):274. doi:10.1001/archderm.1991.01680020146033

To the Editor.—  Localized expression of psoriasis can be very difficult to treat, and scalp involvement is a particularly important example that may be resistant to topical therapy. It has the added problems of troublesome pruritus and producing a significant cosmetic defect in the form of scaling. Since potent systemic agents (eg, cyclosporine)1 cannot be justified, we must search for newer effective topical treatments.We have observed that Epilyt with occlusion can be very effective in removing thick scales on the scalp. Use of Epilyt results in rather prompt clearing and is relatively easy for the patient to use.We followed a group of 12 patients with severe scalp involvement who had been referred due to failure to respond to most of the commonly used scalp preparations, including those containing a corticosteroid. Epilyt was applied nightly and then covered with a shower cap for 4 to 8 hours. In

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