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[Translated article] Sensitive Scalp: Diagnosis and Practical Management. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:T141-T146. [PMID: 36470396 DOI: 10.1016/j.ad.2022.09.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Accepted: 09/09/2022] [Indexed: 12/12/2022] Open
Abstract
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.
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Guerra-Tapia A, González-Guerra E. Sensitive Scalp: Diagnosis and Practical Management. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:141-146. [PMID: 36174707 DOI: 10.1016/j.ad.2022.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/03/2022] [Accepted: 09/09/2022] [Indexed: 02/06/2023] Open
Abstract
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.
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Yan S, Zhao J, Han Y, Wang R, Bai K, Ge J, Pan Y, Zhao H. The Challenges in Investigating the Pathogenesis of Sensitive Skin by Noninvasive Measurements: A Systematic Review. CLINICAL, COSMETIC AND INVESTIGATIONAL DERMATOLOGY 2023; 16:237-251. [PMID: 36726811 PMCID: PMC9885880 DOI: 10.2147/ccid.s392925] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Accepted: 01/14/2023] [Indexed: 01/28/2023]
Abstract
Sensitive skin (SS) is a common cutaneous condition that seriously affects people's quality of life, but studies of sensitive skin pathogenesis are unclear, the exploration are ongoing, and the biophysical properties of sensitive skin disagree with the study results. In this paper, we summarize the noninvasive biophysical and imaging instrumental methods used for sensitive skin and provide support for the classification of sensitive skin subtypes to prescribe precise treatment. PubMed and Web of Science databases were searched according to PRISMA guidelines for articles from January 1971 to May 2022 that used noninvasive biophysical or imaging methods to monitor adult subjects with sensitive skin. The quality of the included articles was determined based on 22 items of the STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) statement. A total of 55 studies were included, representing 8 biophysical and 5 imaging methods and their applications in treatment efficacy evaluation studies. The biophysical parameter and cutaneous morphological property changes in sensitive skin subjects were observed. The quality of the studies was relatively low, and there was high variability in results between studies. Several parameters have shown tremendous potential in exploring the pathogenesis with different sensitive skin subtypes: type I may be detected with higher transepidermal water loss and lower stratum corneum hydration values, as well as with thinner epidermis with a shallower and more irregular honeycomb structure; Type II and III are more prone to higher blood flow, lower current perception threshold than normal skin. This systematic review identifies key reasons for the lack of uniform trends in noninvasive measurements and recommends the use of effective selection instruments or relevant parameters to explore the pathogenesis of sensitive skin, and to differentiate the subtypes of sensitive skin for achieving the precise treatment.
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Affiliation(s)
- Shiyu Yan
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Jinfeng Zhao
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Yuqing Han
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Rui Wang
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Kexuan Bai
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Junxin Ge
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
| | - Yao Pan
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China,Correspondence: Yao Pan, Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, 11 Fu Cheng Road, Hai Dian District, Beijing, 10048, People’s Republic of China, Tel +86-10-68984937, Email
| | - Hua Zhao
- Department of Cosmetics, College of Chemistry and Materials Engineering, Beijing Technology and Business University, Beijing, 100048, People’s Republic of China,Beijing Key Laboratory of Plant Research and Development, Beijing, 100048, People’s Republic of China
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Guerra-Tapia A, Serra-Baldrich E, Prieto Cabezas L, González-Guerra E, López-Estebaranz JL. Diagnosis and Treatment of Sensitive Skin Syndrome: An Algorithm for Clinical Practice. ACTAS DERMO-SIFILIOGRAFICAS 2019; 110:800-808. [PMID: 31146882 DOI: 10.1016/j.ad.2018.10.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 10/09/2018] [Accepted: 10/13/2018] [Indexed: 10/26/2022] Open
Abstract
Sensitive skin has traditionally been viewed as a cosmetic problem or as a purely psychosomatic alteration with a major subjective component. Different studies of its pathophysiologic etiology, however, have shown it to be a complex entity that several authors now consider to be a neurodermatological syndrome. Because of this complexity, skin sensitivity can be difficult to diagnose and treat, particularly considering that it may present with another disease. Simple tools applicable to clinical practice are thus necessary to identify and manage this disease as an independent entity. In this study, we perform a practical review of the most recent scientific advances in the area of sensitive skin that justify it being considered an individual entity, and provide tools for its identification and treatment. We propose diagnostic and treatment algorithms based on evidence from the literature and our experience and expertise.
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Affiliation(s)
- A Guerra-Tapia
- Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Sección de Dermatología, Hospital Universitario 12 de Octubre, Madrid, España.
| | - E Serra-Baldrich
- Servicio Dermatología, Hospital Sant Pau, Universidad Autónoma de Barcelona, España
| | | | - E González-Guerra
- Departamento de Medicina, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Servicio de Dermatología, Hospital Clínico San Carlos, Madrid, España
| | - J L López-Estebaranz
- Servicio de Dermatología, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, España; Universidad Rey Juan Carlos, Madrid, España
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Kim YR, Cheon HI, Misery L, Taieb C, Lee YW. Sensitive skin in Korean population: An epidemiological approach. Skin Res Technol 2017; 24:229-234. [DOI: 10.1111/srt.12418] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/10/2017] [Indexed: 01/18/2023]
Affiliation(s)
- Y. R. Kim
- Department of Dermatology; Konkuk University School of Medicine; Seoul Korea
| | - H. I. Cheon
- Department of Dermatology; Konkuk University School of Medicine; Seoul Korea
| | - L. Misery
- Department of Dermatology; University Hospital of Brest; Brest France
- Laboratory of Neurosciences of Brest; University of Western Brittany; Brest France
| | - C. Taieb
- Department Public Health & Quality of Life; Laboratories Pierre Fabre; Paris France
| | - Y. W. Lee
- Department of Dermatology; Konkuk University School of Medicine; Seoul Korea
- Research Institute of Medical Science; Konkuk University; Seoul Korea
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Dreno B, Araviiskaia E, Berardesca E, Bieber T, Hawk J, Sanchez-Viera M, Wolkenstein P. The science of dermocosmetics and its role in dermatology. J Eur Acad Dermatol Venereol 2014; 28:1409-17. [PMID: 24684296 DOI: 10.1111/jdv.12497] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2014] [Accepted: 03/03/2014] [Indexed: 12/12/2022]
Abstract
Our increased knowledge of normal skin physiology has ushered in a subtle revolution in cosmetic science. Originally designed as preparations to enhance personal appearance by direct application on to the skin, cosmetics have now taken on a new role in dermatology, through the support of the management of many skin disorders. This evolving role of cosmetics in skin care is primarily due to scientific and technological advancements that have changed our understanding of normal skin physiology and how cosmetics modify its appearance both physically and biologically. The vast array of techniques currently available to investigate skin responsivity to multiple stimuli has brought about a new era in cosmetic and dermocosmetic development based on a robust understanding of skin physiology and its varied responses to commonly encountered environmental insults. Most cosmetic research is undertaken on reconstructed skin models crucial in dermatological research, given the strict ban imposed by the European Union on animal testing. In addition, the design and conduct of trials evaluating cosmetics now follow rules comparable to those used in the development and evaluation of pharmaceutical products. Cosmetic research should now aim to ensure all trials adhere to strictly reproducible and scientifically sound methodologies. The objective of this review is to provide an overview of the multidisciplinary scientific approach used in formulating dermocosmetics, and to examine the major advances in dermocosmetic development and assessment, the safety and regulatory guidelines governing their production and the exciting future outlook for these dermocosmetic processes following good practice rules.
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Affiliation(s)
- B Dreno
- Department of Dermato Cancerology, Nantes University, Nantes, France
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