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Scalp dysesthesia

D Hoss1, S Segal

  • 1Department of Dermatology, University of Connecticut Health Center, Farmington 06030, USA.

Archives of Dermatology
|April 1, 1998
PubMed
Summary

Scalp dysesthesia, a chronic scalp condition with burning or itching, often linked to stress, improved in most patients with antidepressant treatment. This study identifies scalp dysesthesia and its effective management.

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Area of Science:

  • Neurology
  • Psychiatry
  • Dermatology

Background:

  • Cutaneous dysesthesia syndrome involves chronic skin sensations like burning or itching without visible causes.
  • Symptoms can be triggered by stress and may indicate psychiatric conditions or chronic pain.

Purpose of the Study:

  • To describe a new syndrome, "scalp dysesthesia," characterized by chronic scalp pain and/or pruritus.
  • To investigate the clinical features and treatment outcomes for patients with scalp dysesthesia.

Main Methods:

  • A case series of eleven women with chronic scalp pain/pruritus and no objective findings.
  • Evaluation of symptom characteristics, psychiatric history, stress triggers, and treatment responses.

Main Results:

  • Eleven women aged 36-70 presented with scalp dysesthesia lasting 9 months to 7 years.
  • Nine out of eleven patients showed symptom improvement or resolution with low-dose antidepressants (doxepin, amitriptyline).
  • Psychiatric disorders and stress triggers were reported by several patients.

Conclusions:

  • Scalp dysesthesia is a newly described syndrome affecting the scalp.
  • Low-dose antidepressants appear effective in managing scalp dysesthesia symptoms in the majority of patients.

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