Diagnostic and therapeutic approach to scalp dysesthesia: A case series and published work review

Scalp dysesthesia may be underrecognized but is an important condition which requires special management strategies. Through our case series of four patients, we have noted that patients were frequently misdiagnosed with seborrheic dermatitis and failed standard treatment. However, patients did bene...

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Bibliographic Details
Published inJournal of dermatology Vol. 46; no. 6; pp. 526 - 530
Main Authors Kinoshita‐Ise, Misaki, Shear, Neil H.
Format Journal Article
LanguageEnglish
Published England Wiley Subscription Services, Inc 01.06.2019
Subjects
Amitriptyline
Antihistamines
cervical spine
Corticosteroids
Dermatitis
Ketamine
Lidocaine
Medical diagnosis
Mental disorders
pregabalin
Scalp
scalp dysesthesia
Seborrheic dermatitis
TALK
seborrheic dermatitis
pregabalin
TALK
cervical spine
scalp dysesthesia
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Summary:Scalp dysesthesia may be underrecognized but is an important condition which requires special management strategies. Through our case series of four patients, we have noted that patients were frequently misdiagnosed with seborrheic dermatitis and failed standard treatment. However, patients did benefit from low doses of oral pregabalin and a topical compound of amitriptyline, lidocaine and ketamine. Oral antihistamines and topical corticosteroids did not work sufficiently on their own but added value when used in conjunction with analgesic agents. Our experience and published work also suggest the association of cervical spinal changes, psychiatric disorders, and other environmental and habitual factors.
ISSN:0385-2407
1346-8138
DOI:10.1111/1346-8138.14901