Scalp Psoriasis: NF-kB Mechanisms
Psoriasis affects 2-3% of Belgians (UZ Leuven, CHU Liège — reference center). The scalp is affected in 50-80% of cases, often as an isolated form (PCC). Characteristics: thick adherent plaques, visible scaling, intense itching, significant social impact (hair + visible scalp).
| Location/Mechanism | NF-kB effect | Gingerol |
|---|---|---|
| Scalp keratinocytes | IL-17A/IL-23 -> NF-kB -> proliferation x5 (5 days vs 28) -> plaques | 6-gingerol -> keratinocytic NF-kB down |
| Malassezia (skin microbiome dysbiosis) | Malassezia -> TLR2/4 -> NF-kB -> IL-1b/IL-8 -> exacerbated psoriasis | Gingerol anti-fungal (biofilm inhibition) -> Malassezia down |
| Gut-skin axis | Gut dysbiosis -> LPS -> TLR4 -> systemic cutaneous NF-kB | Ginger up F.prausnitzii -> butyrate -> systemic NF-kB down |
| Sugar and psoriasis | Hyperglycemia -> AGE -> RAGE -> keratinocytic NF-kB up -> flare-ups | INTI anti-AGE -> keratinocytic NF-kB protected |
INTI Protocol for Scalp Psoriasis
| Time | Action | Cutaneous Goal |
|---|---|---|
| Morning | 1 shot INTI + warm water | Keratinocytic NF-kB down, Malassezia inhibited |
| Topical treatment | Prescribed dermocorticosteroids + vitamin D analogues | Reference treatment essential |
| Diet | Anti-inflammatory (omega-3, no refined sugar, vegetables) | Gut-skin axis -> systemic NF-kB down |
Interactions: Methotrexate: ginger without interaction at moderate doses. Biologics anti-IL-17A (secukinumab/ixekizumab): ginger complementary (same target IL-17A, different mechanism). Acitretin: vitamin D synergistic (ginger does not interfere).
FAQ Scalp Psoriasis and Ginger
Can ginger replace dermocorticosteroids? No — dermocorticosteroids and vitamin D analogues remain the reference treatment for PSC. Ginger is systemic support that can reduce the frequency of flare-ups and improve response to topical treatments.
Scalp psoriasis and cortisol-natural-relief">stress: role of ginger? Stress is a major flare-up factor via cortisol-stress-surrenales-burnout">ginger cortisol -> keratinocytic NF-kB. Gingerol reduces chronic cortisol and can reduce the frequency of stress-induced flare-ups. Psychological stress management remains a priority.
Can INTI be applied to the scalp? Not recommended — INTI is a beverage, not a cosmetic/dermatological product. Its action is systemic (oral), not topical.
INTI — The Anti-Keratinocytic NF-kB Beverage for Scalp Psoriasis
Organic carefully prepared ginger - less than 1.19g sugar per 100ml - 0% alcohol - Malassezia inhibited
IL-17A down - keratinocytic NF-kB down - gut-skin axis improved - AGE down
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