Sensitive Scalp and Trichodynia: Epidemiology, Etiopathogenesis, Diagnosis, and Management

Sensitive scalp (SSc) was identified as a condition characterized by subjective symptoms such as pruritus, burning, pain, pricking, and trichodynia, often accompanied by scalp erythema. Despite its prevalence in dermatological practice and mention in personal care products, it was poorly researched in medical literature. The exact cause of SSc remained uncertain, but it might have been linked to hair loss. Diagnosis relied on patient history, as there were no specific trichoscopic features, and it was important to differentiate it from conditions like trigeminal trophic syndrome and postherpetic neuralgia. Management involved a three-step approach: scalp care, topical treatment, and systemic treatment.