Less than 50% scalp involvement

Intralesional corticosteroid injections once a month (triamcinolone acetonide [Kenalog] preferred)

Intralesional corticosteroid injections once a month, plus topical application of intermediate-potency corticosteroid solution or lotion twice daily

Intralesional corticosteroid injections once a month, plus topical application of 5% minoxidil solution (Rogaine) twice daily

Prednisone, 20 mg taken orally every day or every other day

Greater than 50% involvement

Topical application of anthralin cream (Psoriatec), plus 5% minoxidil solution once daily

Topical application of corticosteroid solution or lotion, plus 5% minoxidil solution twice daily

Prednisone, 40 mg per day orally for 7 days, then tapered by 5 mg every few days for six weeks

Referral to dermatologist for topical immunotherapy

Scalp prosthesis (wig)