Epidemiology of Dandruff, Scalp Pruritus and Associated Symptoms

Miséry, Laurent; Rahhali, Nora; Duhamel, A.; Taïeb, C.

doi:10.2340/00015555-1315

Cited by 46 publications

(39 citation statements)

References 8 publications

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“…In the specific case of a sensitive scalp, the diagnosis must be based on neuropathies [53], other causes of an itchy scalp [49,50] and trichodynia [55]. Trichodynia is a painful sensation at the scalp that is localized in the area of hair loss (androgenetic alopecia, telogen effluvium or alopecia areata).…”

Section: Differential Diagnosismentioning

confidence: 99%

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Sensitive skin

Miséry¹

2013

Expert Review of Dermatology

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Sensitive skin could be defined as the occurrence of erythema and/or abnormal stinging, burning and tingling sensations (occasionally pain or pruritus) in response to multiple factors, which may be physical (UV radiations, heat, cold and wind), chemical (cosmetics, soaps, water and pollutants) and occasionally psychological (stress) or hormonal (menstrual cycle). The diagnosis, pathophysiology, epidemiology and treatment are still under debate. Sensitive skin is most likely due to neurogenic inflammation after the enhanced activation of sensory proteins in keratinocytes and nerve endings. Skin sensitivity is a very frequent condition because it can be detected in approximately half of the population. The treatment is likely a cautious use of cosmetics or the use of cosmetics without preservatives and surfactants or containing inhibitors of neurogenic inflammation.

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Section: Differential Diagnosismentioning

confidence: 99%

“…Scalp pruritus is frequent in people with or without dandruff [49]. The high frequency of scalp pruritus and sensitive scalps is related to the complex neuroanatomy of the scalp, with an abundance of sensory neural end organs in the pilosebaceous unit [50].…”

Section: Scalpmentioning

confidence: 99%

Sensitive skin

Miséry¹

2013

Expert Review of Dermatology

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“…In a French study, 50% of affected patients complained of scalp itch. Other common symptoms included sensations of prickling, tightness, pain, and burning [11] . Pruritus in seborrheic dermatitis typically disappears or decreases in severity after shampooing.…”

Section: Seborrheic Dermatitismentioning

confidence: 99%

Scalp Itch: A Systematic Review

Vázquez-Herrera

Sharma

Aleid

et al. 2017

Skin Appendage Disord

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ated with a desire to scratch [1] . Just like skin pruritus, its etiology may be of dermatological or non-dermatological origin. It is common for the dermatologist to encounter patients with no evident cause of scalp pruritus, making it a distressing situation for both the clinician and the patient. The aim of this paper is to review the clinical signs of the most common causes of scalp itch and other less common causes that must be considered in a systematic approach to scalp pruritus. Materials and MethodsWe performed a MEDLINE search through PubMed (1975PubMed ( -2017, using the terms scalp itch and scalp pruritus and included clinical trials, review articles, case series, and case reports to search for the causes of scalp itch. PathophysiologyAlthough various pathogenic etiologies contribute to scalp pruritus, the scalp itself has distinct neuroanatomy and vasculature, specific neuromediators and corresponding receptors, as well as the presence of scalp sebum and microflora, which are all properties that may explain its tendency to be implicated in patients who complain of itch. Keywords Scalp · Itch · Pruritus · Seborrheic dermatitis · Contact dermatitis · Anxiety · Lichen planopilaris · Lice · Pediculosis · Psoriasis · Trichoscopy AbstractScalp itch is a frequent complaint in the dermatological setting. It is common for the dermatologist to encounter patients with no evident cause of scalp pruritus, making it a distressing situation for both the clinician and the patient. The aim of this paper is to propose a systematic approach to scalp itch, which classifies scalp pruritus into two types: (1) with or (2) without dermatological lesions, and presence or absence of hair loss. Also, it is important to think first about the most common causes and then rule out other, less common etiologies. The acronym SCALLP and the five steps for scalp evaluation (listen, look, touch, magnify, and sample) are useful tools to keep in mind for an assertive approach in these patients.

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“…The prevalence of chronic pruritus lasting over 6 weeks is about 20 % in the general population [1][2][3]. Diagnostics include the clarification of possible causes, such as diabetes, renal, hepatic or hematologic diseases or infections.…”

Section: Indications For Magistral Formulas In Pruritusmentioning

confidence: 99%

Magistral formulations and pruritus therapy – What is established, what is confirmed, what is new?

Staubach¹,

Metz

2013

J Deutsche Derma Gesell

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SummaryPruritus is a common symptom encountered by many different specialties. One must clinically differentiate between pruritus associated with skin disease or inflammation and pruritus with normal skin. Searching for possible underlying diseases is indispensable, because pruritus can be very chronic and has multiple pathogenetic mechanisms. Therapy -especially topical therapy -is difficult and often not successful. Very often systemic treatment has to be combined with topical approaches, considering both the active ingredients and appropriate vehicles. There are still open therapeutic gaps in the pharmaceutical product market, which can partially be resolved by using standard prescriptions for formulations. Due to the new pharmacy practice order, standardized compounded formulations should be given preference, since individual formulations often do not pass the plausibility check of the compounding pharmacist. Also the use of cosmetic ingredients (by example, commercial cold creams) is no longer permitted, since only ingredients with pharmaceutical quality can be used in compounding. We will show -based on practical cases -different therapeutic options for treatment with standardized magistral formulations from the NRF (New German Pharmacopoeia for compounded medications). Systemic and topical therapeutic agents complement each other in their efficacy. Causal and symptomatic therapies result in the most diverse therapeutic options since pruritus has so many causes. In many scenarios, novel therapeutic approaches or special vehicles require magistral formulas [4,5]. The new Pharmacy Practice Act requires a plausibility check of each prescription since 2012, so that frequently individual formulations are scrutinized, so that therapeutic alternatives in the form of magistral formulas are very welcome. We will present only established magistral formulas of the NRF that have already undergone a plausibility check [6,7]. Petra

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Epidemiology of Dandruff, Scalp Pruritus and Associated Symptoms

Cited by 46 publications

References 8 publications

Sensitive skin

Sensitive skin

Scalp Itch: A Systematic Review

Magistral formulations and pruritus therapy – What is established, what is confirmed, what is new?

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