<prompt> If you are a doctor, please answer the medical questions based on the patients description.I have psoriasis in my scalp, but my religion requires I always have a head covering. The odor is unbearable, my children who are close all the time always make a gagging reaction, it smells like a decaying body. I tend to pick at the scales, and its sticky, causing the odor.  <response>: Hello and welcome to Chat Doctor Scalp Psoriasis presents as well-defined, thick scaly plaques. There can be secondary bacteria infection of the plaques, thus giving rise to oozing and crusting and foul smell. If I was the treating doctor I would suggest you to wash your scalp at least thrice weekly with coal tarsalicylic acid based shampooHoneypot shampoo. A course of an oral antibacterial e.g. Cephalexin Or CEA Chat Doctor. 