Terry - oh I pretty sure there's some RA or PA mixed in here. Probably the PA since this whole mess seemed to start with a huge psoriasis flare 2 years ago when dad was dying. But when I read more about lupus, I understand that there are psoriasis-like patches on the scalp as well. So maybe it wasn't/isn't P? Mine does not flake. We have 2 patients with P and theirs flake. Mine just itches and turns into scabs (?). At the risk of grossness, I pick at the "scabs" and a couple of days later scabs have reformed. Then they go away for days and sometimes weeks at a time and then flare up again. Two years the whole right side of my head and neck were covered. Now it's just a small patch......another reason why I'm not sure it's P.