Small areas of scalp psoriasis that remain hidden by the hair and might not be seen by an one looking; there are forms can be really itchy and highly visible. Silvery-white scales (resembling dandruff) flake onto shoulders , although embarrassing these can create stress for the patient. Successful treatment is vital to control any continued stress and physical discomfort. If the ear canal is affected with enough scales, hearing may suffer. Hair loss is uncommon as psoriasis does not affect the hair root, although in bad cases hair loss can happen.scalp psoriasis cnn money