Sensitive Scalp: Diagnosis and Practical Management

• Published in: Actas dermo-sifiliográficas (English ed.) Vol. 114; no. 2; pp. 141 - 146
• Main Authors: Guerra-Tapia, A, González-Guerra, E
• Format: Journal Article
• Language: English; Spanish
• Published: Spain 01-02-2023
• Subjects: Dermatitis, Atopic; Dermatitis, Seborrheic - diagnosis; Dermatitis, Seborrheic - therapy; Humans; Psoriasis - drug therapy; Scalp; Skin - pathology; Receptor de potencial transitorio vaniloide; Trichodynia; Piel sensible; Sensitive scalp; Transient receptor potential cation channel; Tricodinia; Cuero cabelludo sensible; Sensitive skin
• ISSN: 2173-5778; 1578-2190
• DOI: 10.1016/j.ad.2022.09.009

Sensitive scalp is sensitive skin located on the scalp. Sensitivity is considered primary in the absence of an associated scalp disorder and secondary when caused by conditions such as psoriasis, seborrheic dermatitis, and atopic dermatitis. The clinical manifestations of primary sensitive scalp are subjective. Common presenting symptoms are burning, itching, trichodynia, and dysesthesia, often coinciding with hair loss. Clinically, the skin appears normal or red. An objective diagnosis based on laboratory or histologic findings is not possible. Triggers may be endogenous (e.g., stress and emotional or psychopathological disturbances) or exogeneous (e.g., topical products and cosmetics). Treatment must be individualized. Options include pimecrolimus, hydration with hyaluronic acid, and mesotherapy with plasma rich in growth factors.