Update on Trichodynia, a Challenge for Dermatologists

Trichodynia is a painful scalp condition often linked to various types of alopecia and is more common in women. It is associated with factors like substance P, perifollicular inflammation, and psychiatric disorders. Diagnosis is typically by exclusion, and treatment options include anti-inflammatory agents, antidepressants, and neuromodulators, though no specific treatment algorithm exists. Management strategies recommend gentle hair care, avoiding heat and tension-inducing hairstyles, and using relaxation techniques. Despite these approaches, treating trichodynia remains challenging, underscoring the need for further research and targeted therapies.