Successful Treatment of Refractory Trichodynia With Onabotulinumtoxin-A

March 2024 in “ Curēus ”

Faris A Alhomida, Sarah Alkhezzi, Rasha Alshammari, Bushra S Alasmari, Dalal A. AlDosari, Monira Abdullah Alnasser, Asem Almesfer, Saad AlSaadan

onabotulinumtoxin-A trichodynia hair loss scalp condition psychiatric comorbidities Botox

TLDR Onabotulinumtoxin-A effectively treated a painful scalp condition when other treatments failed.

The study reports a successful case of using off-label onabotulinumtoxin-A to treat a patient with refractory trichodynia, a painful scalp condition often associated with hair loss and psychiatric comorbidities. This patient had not responded to conventional therapies, highlighting the potential of onabotulinumtoxin-A as an effective treatment option for trichodynia, despite the lack of FDA-approved treatments for this condition.

View this study on assets.cureus.com →

Discuss this study in the Community →

Cited in this study

4 / 4 results

research Sensitive Scalp: An Epidemiologic Study in Patients with Hair Loss

1 citations , January 2022 in “Dermatology Reports”

Many people with hair loss, especially those with telogen effluvium and alopecia areata, often have a sensitive scalp.

research Trichodynia Revisited

4 citations , January 2021 in “Skin appendage disorders”

Trichodynia is a painful scalp condition not directly linked to the amount or type of hair loss and may involve psychological factors, with treatments showing mixed results.

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

10 citations , January 2012 in “International Journal of Trichology”

The study found no link between anxiety, vitamin B12, folate, TSH, ferritin, zinc levels, and trichodynia in telogen alopecia patients.

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

46 citations , September 2003 in “International Journal of Dermatology”

Trichodynia found in 29% of TE or AGA patients, linked to psychological conditions.

2 / 2 results

research Sensitive Scalp: An Epidemiologic Study in Patients with Hair Loss

1 citations , January 2022 in “Dermatology Reports”

Many people with hair loss, especially those with telogen effluvium and alopecia areata, often have a sensitive scalp.

research Quantitative Analysis of the Anatomical Changes in the Scalp and Hair Follicles in Androgenetic Alopecia Using Magnetic Resonance Imaging

2 citations , January 2021 in “Skin Research and Technology”

MRI reveals thinner scalps and smaller hair follicles in people with androgenetic alopecia.