Guerra-Tapia A, González-Guerra E
Clínica Dermatólogas Guerra, Madrid, España.
Hospital Clínico San Carlos, Madrid, España.
Actas Dermosifiliogr. 2023 Feb;114(2):141-146. doi: 10.1016/j.ad.2022.09.009. Epub 2022 Sep 26.
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.
敏感性头皮是位于头皮部位的敏感皮肤。在不存在相关头皮疾病时，敏感性被视为原发性的；而由银屑病、脂溢性皮炎和特应性皮炎等病症引起时，则为继发性的。原发性敏感性头皮的临床表现具有主观性。常见的症状有烧灼感、瘙痒、毛发疼痛和感觉异常，常伴有脱发。临床上，皮肤外观正常或发红。无法基于实验室或组织学检查结果进行客观诊断。诱发因素可能是内源性的（如压力以及情绪或精神病理紊乱）或外源性的（如局部产品和化妆品）。治疗必须个体化。治疗方法包括使用吡美莫司、透明质酸保湿以及富含生长因子的血浆进行中胚层疗法。
