Sensitive Skin Syndrome: Literature Review of an Emerging Condition

Keywords: Hyperesthesia, Skin/physiopathology, Skin Diseases, Skin Physiological Phenomena

Abstract

Sensitive skin syndrome (SSS) can be defined by the occurrence of unpleasant sensations such as stinging, burning, pain or itching after the skin is exposed to physical, chemical or thermal stimuli that would not normally cause these symptoms. With an estimated prevalence of up to 50% in women and up to 30% in men, this condition can be diagnosed using questionnaires and skin reactivity tests. The pathophysiology appears to involve a decrease in epidermal barrier function and neurosensory and immunological dysfunction. Treatment includes general measures, such as avoiding trigger factors, reducing the number of cosmetics applied, and using biocompatible moisturizers. Treatments targeting the signaling pathways affected in the disease, such as TRPV1 inhibitors, are under development.

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References

Guerra-Tapia A, Serra-Baldrich E, Prieto Cabezas L, González-Guerra E, López-Estebaranz JL. Diagnosis and treatment of sensitive skin syndrome: an algorithm for clinical practice. Actas Dermosifiliogr. 2019;110:800-808. doi:10.1016/j.ad.2018.10.021

Escalas-Taberner J, González-Guerra E, Guerra-Tapia A. Sensitive skin: a complex syndrome. Actas Dermosifiliogr. 2011;102:563-71. doi:10.1016/j.ad.2011.04.011

Kamide R, Misery L, Perez-Cullell N, Sibaud V, Taïeb C. Sensitive skin evaluation in the Japanese population. J Dermatol. 2013;40:177-81. doi:10.1111/1346-8138.12027

Duarte I, Silveira J, Hafner MFS, Toyota R, Pedroso DMM. Sensitive skin: review of an ascending concept. An Bras Dermatol. 2017;92:521-525. doi:10.1590/abd1806-4841.201756111

Taieb C, Auges M, Georgescu V, Perez Cullell N, Miséry L. Sensitive skin in Brazil and Russia: an epidemiological and comparative approach. Eur J Dermatol. 2014;24:372-6. doi:10.1684/ejd.2014.2367

Chen L, Zheng J. Does sensitive skin represent a skin condition or manifestations of other disorders? J Cosmet Dermatol. 2020;00:1-4. doi:10.1111/jocd.13829

Gunarić A, Tomić I, Babić R, et al. Sensitive skin in the population of Herzegovina-Neretva county: prevalence and clinical data. Psychiatr Danub. 2020;32(Suppl 2):290-297.

Buhé V, Vié K, Guéré C, et al. Pathophysiological study of sensitive skin. Acta Derm Venereol. 2016;96:314-8. doi:10.2340/00015555-2235

Misery L, Loser K, Ständer S. Sensitive skin. J Eur Acad Dermatol Venereol. 2016;30 Suppl 1:2-8. doi:10.1111/jdv.13532

Misery L, Duboc H, Coffin B, Brenaut E, Huet F, Taieb C. Association between two painful and poorly understood conditions: Irritable bowel and sensitive skin syndromes. Eur J Pain. 2019;23:160-166. doi:10.1002/ejp.1296

Do LHD, Azizi N, Maibach H. Sensitive skin syndrome: an update. Am J Clin Dermatol. 2020;21:401-409. doi:10.1007/s40257-019-00499-7

Richters R, Falcone D, Uzunbajakava N, Verkruysse W, van Erp P, van de Kerkhof P. What is sensitive skin? A systematic literature review of objective measurements. Skin Pharmacol Physiol. 2015;28:75-83. doi:10.1159/000363149

Talagas M, Misery L. Role of keratinocytes in sensitive skin. Front Med (Lausanne). 2019;6:108. doi:10.3389/fmed.2019.00108

Pinto P, Rosado C, Parreirão C, Rodrigues LM. Is there any barrier impairment in sensitive skin?: a quantitative analysis of sensitive skin by mathematical modeling of transepidermal water loss desorption curves. Skin Res Technol. 2011;17:181-5. doi:10.1111/j.1600-0846.2010.00478.x

Berardesca E, Farage M, Maibach H. Sensitive skin: an overview. Int J Cosmet Sci. 2013;35:2-8. doi:10.1111/j.1468-2494.2012.00754.x

Ehnis-Pérez A, Torres-Álvarez B, Cortés-García D, Hernández-Blanco D, Fuentes-Ahumada C, Castanedo-Cázares JP. Relationship between transient receptor potential vanilloid-1 expression and the intensity of sensitive skin symptoms. J Cosmet Dermatol. 2016;15:231-7. doi:10.1111/jocd.12204

Ma L, Guichard A, Cheng Y, et al. Sensitive scalp is associated with excessive sebum and perturbed microbiome. J Cosmet Dermatol. 2019;18:922-928. doi:10.1111/jocd.12736

Huet F, Dion A, Batardière A, et al. Sensitive skin can be small fibre neuropathy: results from a case-control quantitative sensory testing study. Br J Dermatol. Nov 2018;179(5):1157-1162. doi:10.1111/bjd.17082

Misery L, Sibaud V, Ambronati M, Macy G, Boussetta S, Taieb C. Sensitive scalp: does this condition exist? An epidemiological study. Contact Dermatitis. Apr 2008;58(4):234-8. doi:10.1111/j.1600-0536.2007.01288.x

Ma L, Guichard A, Humbert P, et al. Evaluation of the severity and triggering factors of sensitive scalp in Chinese females. J Cosmet Dermatol. Sep 2016;15(3):219-25. doi:10.1111/jocd.12203

Misery L, Jean-Decoster C, Mery S, Georgescu V, Sibaud V. A new ten-item questionnaire for assessing sensitive skin: the Sensitive Scale-10. Acta Derm Venereol. Nov 2014;94(6):635-9. doi:10.2340/00015555-1870

Kligman AM, Sadiq I, Zhen Y, Crosby M. Experimental studies on the nature of sensitive skin. Skin Res Technol. Nov 2006;12(4):217-22. doi:10.1111/j.0909-752X.2006.00206.x

Published
2021-12-27
How to Cite
Bonito, F., Cerejeira, D., & Monteiro, A. F. (2021). Sensitive Skin Syndrome: Literature Review of an Emerging Condition. Journal of the Portuguese Society of Dermatology and Venereology, 79(4), 351-356. https://doi.org/10.29021/spdv.79.4.1417
Section
Review Articles