Scalp dysesthesia
| Scalp dysesthesia | |
|---|---|
| Synonyms | Scalp burning syndrome | 
| Pronounce | N/A | 
| Specialty | N/A | 
| Symptoms | Burning sensation, itching, pain on the scalp | 
| Complications | Hair loss | 
| Onset | Adulthood | 
| Duration | Chronic | 
| Types | N/A | 
| Causes | Psychological stress, neuropathic pain, dermatological conditions | 
| Risks | Anxiety, depression, stress | 
| Diagnosis | Clinical diagnosis, exclusion of other conditions | 
| Differential diagnosis | Contact dermatitis, seborrheic dermatitis, trichodynia | 
| Prevention | N/A | 
| Treatment | Topical corticosteroids, antidepressants, gabapentin | 
| Medication | Amitriptyline, gabapentin, topical steroids | 
| Prognosis | N/A | 
| Frequency | Unknown | 
| Deaths | N/A | 
Scalp dysesthesia is a cutaneous syndrome first described in 1998 in 11 patients. It is characterized by pain or discomfort in the skin of the scalp or back of the neck, often described as burning or tingling, or as a tight feeling or pressure. The pain is often severe and unrelenting. It is most common in middle-aged or elderly women.
Causes
The cause of scalp dysesthesia is not well understood. It is thought to be a form of neuropathic pain, which is pain caused by damage or disease affecting the somatosensory nervous system. Some researchers believe it may be related to depression or anxiety, while others believe it may be related to menopause or hormonal changes.
Diagnosis
Diagnosis of scalp dysesthesia is based on the patient's symptoms and a physical examination. There are no specific tests for this condition. The diagnosis is often made by ruling out other possible causes of the patient's symptoms.
Treatment
Treatment for scalp dysesthesia is focused on managing the patient's symptoms. This may include pain management techniques such as medication, physical therapy, or cognitive behavioral therapy. Some patients may find relief with topical treatments such as capsaicin cream.
See also
References
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Contributors: Prab R. Tumpati, MD