Sensitive Scalp: Diagnosis and Practical Management
February 2023
in “
Actas dermo-sifiliográficas/Actas dermo-sifiliográficas
”
sensitive scalp syndrome burning itching hair loss psoriasis stress topical products oral minoxidil alopecia oral glucocorticoids rebound effects topical glucocorticoid oral gabapentin oral pregabalin topical pimecrolimus neurogenic inflammation scalp hydration hyaluronic acid mesotherapy platelet-rich plasma skin barrier function CCS Rogaine PRP
TLDR For sensitive scalp, treatment is personalized and may include specific medications and hydration, while avoiding stress and irritating products.
Sensitive scalp syndrome (CCS) involves symptoms like burning, itching, and hair loss, and can be primary or secondary to conditions like psoriasis. Diagnosis relies on clinical presentation, with no specific lab markers. Triggers include stress and inappropriate topical products. Management focuses on reducing triggers, using mild cleansing products, and considering oral minoxidil for alopecia patients. Oral glucocorticoids may be used short-term to avoid rebound effects from prolonged topical glucocorticoid use. Severe symptoms may be treated with oral gabapentin or pregabalin, and topical pimecrolimus can control neurogenic inflammation. Scalp hydration with hyaluronic acid and mesotherapy with platelet-rich plasma are recommended to improve skin barrier function. The guidelines apply to both primary and secondary CCS, with adjustments for underlying conditions.
