medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2024-9-25-30medalphabet-3772Research ArticleСтатьи«Пламенеющий скальп»: актуальность, место в клинической систематике, подходы к терапии“Burning scalp” syndrome: relevance, place in clinical taxonomy and therapeutic approacheshttps://orcid.org/0000-0002-3875-4030ЛьвовА. Н.LvovA. N.

Львов Андрей Николаевич - д.м.н., профессор кафедры дерматовенерологии и косметологии, начальник отдела аспирантуры и ординатуры ФГБУ ДПО «ЦГМА»; главный научный сотрудник МНОЦ ФГБОУ ВО «МГУ им. М.В. Ломоносова».

Москва

Andrey N. Lvov - DM Sci (habil.), professor at Dept of Dermatovenereology, head of Dept of Postgraduate and Residency Studies, Central State Medical Academy of the Administrative Department of the President of Russia; chief researcher, Medical Scientific and Educational Centre at Moscow State University n.a. M.V. Lomonosov.

Moscow

alvov@mail.ruhttps://orcid.org/0009-0008-2263-676XЛевинаА. Д.LevinaA. D.

Левина Анна Дмитриевна - очный аспирант кафедры дерматовенерологии и косметологии.

Москва

Anna D. Levina - postgraduate student at Dept of Dermatovenereology and Cosmetology.

Moscow

anetlevina@mail.ruhttps://orcid.org/0000-0003-0043-0564СкандарянА. А.SkandaryanA. A.

Скандарян Антон Арменович - ассистент кафедры психиатрии и психосоматики института клинической медицины им. Н.В. Склифосовского.

Москва

Anton A. Skandaryan - assistant at Dept of Psychiatry and Psychosomatics of Institute of Clinical Medicine n.a. N.V. Sklifosovsky.

Moscow

anton.skandaryan@gmail.comФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФ; Медицинский научно-образовательный центр ФГБОУ ВО «Московский государственный университет имени М.В. Ломоносова»РоссияCentral State Medical Academy of the Administrative Department of the President of Russia; Medical Scientific and Educational Centre at Moscow State University n.a. M.V. LomonosovRussian FederationФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФРоссияCentral State Medical Academy of the Administrative Department of the President of RussiaRussian FederationФГАОУ ВО «Первый Московский государственный медицинский университет имени И.М. Сеченова» Минздрава России (Сеченовский университет)РоссияFirst Moscow State Medical University n.a. I.M. Sechenov (Sechenov University)Russian Federation20242007202409Дерматология (1)2530Copyright © Львов А.Н., Левина А.Д., Скандарян А.А., 20242024Львов А.Н., Левина А.Д., Скандарян А.А.Lvov A.N., Levina A.D., Skandaryan A.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3772

Одной из разновидностей чувствительной кожи является синдром «пламенеющего скальпа» – наиболее выраженный субъективный симптомокомплекс тактильных ощущений в проекции кожи волосистой части головы. Наиболее частыми проявлениями этого синдрома, значительно снижающего качество жизни пациентов, являются жжение, зуд, боль, триходиния, покраснение по типу приливной и стойкой эритемы, легкое шелушение и иногда выпадение волос. Формирование «пламенеющего скальпа» гетерогенно и может быть ассоциировано с коморбидными дерматозами (себорейный дерматит, экзема, атопический дерматит, псориаз, розацеа, грибковая и бактериальная контаминации, алопеции и др.), органной и висцеральной патологией (сахарный диабет, рассеянный склероз, опухоли центральной нервной системы, паранеопластические состояния, иммунодефициты и др.), психосоматическими отклонениями (конверсионные расстройста, сенсоипохондрия, соматофорный зуд) и средовыми влияниями (аквагенный зуд, ультрафиолетовое излучение). На данный момент нет общих рекомендаций по лечения «пламенеющего скальпа»; для длительного сопроводительного лечения и профилактики перспективны средства лечебной косметики, нормализующие микробиом, обладающие противозудным и противовоспалительным эффектом.

One of the sensitive skin types is the “burning scalp” syndrome. It is the most expressed subjective symptom complex of tactile sensations in the projection of the skin of the scalp. The most common manifestations of this syndrome, which significantly reduces the quality of patient’s life, are burning, itching, pain, trichodynia, redness like flushing and persistent erythema, mild exfoliation and hair loss sometimes. The “burning scalp” formation is heterogeneous and can be associated with comorbid dermatoses (seborrheic dermatitis, eczema, atopic dermatitis, psoriasis, rosacea, fungal and bacterial contamination, alopecia, etc.), organ and visceral pathology (diabetes mellitus, multiple sclerosis, tumors of the central nervous system, paraneoplastic conditions, immunodeficiencies, etc.), psychosomatic abnormalities (conversion disorders, sensory hypochondria, somatoform pruritus) and environmental influences (aquagenic pruritus, ultraviolet radiation). Now, there are no general recommendations for the “burning scalp” treatment. For long-term accompanying treatment and prevention, therapeutic cosmetics that normalize the microbiome and have antipruritic and anti-inflammatory effects are promising.

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The authors declare that there are no conflicts of interest present.