Scalp Dysesthesia Related to Cervical Spine Disease

Thornsberry, Laura A.; English, Joseph C.

doi:10.1001/jamadermatol.2013.914

Cited by 38 publications

(30 citation statements)

References 13 publications

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“…Differences are still debated but we propose a summary in TABLE 1. In the absence of erythema, the diagnosis of sensitive skin is easy. Nonetheless, it is necessary to keep in mind that abnormal sensations without any objective symptoms could also be related to small-fiber neuropathies [52], large-fiber neuropathies or neuropathies due to spinal compression [53], as summarized in TABLE 2. In In contrast to sensitive skin, the anatomical distribution of symptoms is related to innervation. Other differential diagnoses are somatoform skin diseases [54].…”

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%

“…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%

Sensitive skin

Miséry¹

2013

Expert Review of Dermatology

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“…The pathogenesis of this condition is poorly understood and has not been determined. The pain and pruritus may be related to the chronic tension placed on the occipitofrontalis muscle and scalp aponeurosis secondary to the underlying cervical spine disease [2]. …”

Section: Introductionmentioning

confidence: 99%

Trichoscopy of scalp dysesthesia

Rakowska

Olszewska

Rudnicka

2017

pdia

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IntroductionScalp dysesthesia is characterized by localized pruritus, burning sensations or even pain.AimTo describe characteristic trichoscopic features of scalp dysesthesia.Material and methodsThe study was a retrospective analysis (2010–2016) of 9 patients (8 females and 1 male; median age: 52 years; range: 38–66 years). A total of 61 trichoscopic images were analyzed by two independent evaluators.ResultsIn all cases, oval or round areas covered with short hairs: broom hairs (77%; 7/9), block hairs (88%; 8/9), short hairs with trichorrhexis nodosa (78%; 7/9) were found. In 4 of 9 cases these areas were circumscribed by brownish linear discoloration. Background features included: areas lacking hair shafts (44%; 4/9) covered by wavy-shaped scaling, whitish areas with prominent perifollicular yellow discoloration and cloud vessels arranged around follicular openings and around empty follicles (33%, 3/9); focal brownish discoloration with darker wavy lines (78%; 7/9).ConclusionsTrichoscopy can be helpful in establishing the diagnosis of scalp dysesthesia – broom hairs, block hairs and short hairs with trichorrhexis nodosa covering the alopecia patch, uniform in length, can be considered as characteristic for this condition.

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“…Substance P represents a neuropeptide involved in nociception and neurogenic inflammation. More recently, a possible association with cervical spine disease has been reported [26]. Early on, we proposed that trichodynia probably is polyetiologic.…”

Section: Tablementioning

confidence: 96%