Sensitive Scalp: Diagnosis and Practical Management

December 2022 in “ Actas dermo-sifiliográficas/Actas dermo-sifiliográficas ”

A. Guerra‐Tapia, E. González‐Guerra

sensitive scalp hair loss trichodynia psoriasis pimecrolimus hyaluronic acid mesotherapy growth factor-rich plasma oral minoxidil corticosteroids oral gabapentin pregabalin itchy scalp Elidel PRP steroids Neurontin Lyrica

TLDR Sensitive scalp causes discomfort and hair loss, treated with personalized care.

Sensitive scalp, often linked with hair loss and psychological issues like anxiety and depression, presents with symptoms such as burning, itching, and trichodynia. It can be primary or secondary to conditions like psoriasis. Triggers include stress and topical products. Management involves individualized treatments like pimecrolimus, hyaluronic acid, and mesotherapy with growth factor-rich plasma. Oral minoxidil and corticosteroids are recommended for long-term cases, with a two-week corticosteroid therapy to prevent rebound effects. Additional treatments include oral gabapentin or pregabalin for severe symptoms. The guidelines aim to simplify management while considering contraindications and adverse effects. The authors report no conflicts of interest.

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Sensitive Scalp: Diagnosis and Practical Management

Research cited in this study

research Evaluation of the Safety and Efficacy of Platelet-Rich Plasma in the Treatment of Female Patients with Chronic Telogen Effluvium: A Randomized, Controlled, Double-Blind, Pilot Clinical Trial

research Safety of Low-Dose Oral Minoxidil for Hair Loss: A Multicenter Study of 1404 Patients

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research Evaluation of Trichodynia During Chemotherapy or Tamoxifen Treatment in Breast Cancer Patients

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research Evaluation of Anxiety and Levels of Serum B12, Folate, TSH, Ferritin, and Zinc in Telogen Alopecia Patients with Trichodynia

research The Role of Psychological Factors and Serum Zinc, Folate, and Vitamin B12 Levels in the Aetiology of Trichodynia: A Case-Control Study

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research The Presence of Trichodynia in Patients With Telogen Effluvium and Androgenetic Alopecia

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