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Sensitive skin is defined as a syndrome manifested by the occurrence of unpleasant sensations (tingling, burning, pain, pins and needles) in response to stimuli that should not normally cause them. These unpleasant sensations cannot be explained by lesions attributable to a specific skin disease. Sensitive skin can affect different parts of the body. The scalp is a site that is often affected, with specificity linked in particular to the presence of hair and different triggering factors (styling habits, wearing of head coverings, application of cosmetics to the scalp, etc.). Sensitive scalp affects around half the population, and can have an impact on the quality of life of sufferers, particularly those whose symptoms are very intense. Women are more likely than men to have a sensitive scalp, so in order to have a more homogenous study population, we chose to include 40 women. The pathophysiology of sensitive skin is imperfectly understood, and studies specific to the sensitive scalp are very rare. However, the pathophysiology of the sensitive scalp could be different because it is a hairy area, more innervated, and less exposed to environmental factors.
Each patiente will have a sample taken in the dermatology department:
1 skin biopsy of the scalp (non-routine medical procedure)
Completion of questionnaires
Collection of skin microbiota (optional)
40 adult women
20 women with a sensitive scalp (cases)
20 women without a sensitive scalp (controls)
Patientes with the sensitive scalp will be recruited from the dermatology department. There will be no further visits, so the duration of the study is 1 day.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Case group (patient with sensitive scalp) | Other | A 'sensitive scalp' group, with an overall 3S score ≥3 and a pruritus sub-score ≥2. As pruritus is widely described as the main symptom of sensitive scalp, recruitment will be based on the presence of pruritus. |
|
| Control group (patient with "normal" scalp) | Other | - A 'non-sensitive scalp' group, with a 3S score of 0. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| A scalp biopsy using a 4 mm punch in the retroauricular hair zone | Procedure | a scalp biopsy using a 4 mm punch in the retroauricular hair zone under local anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| Study the pathophysiology of the sensitive scalp based on a study of the genes expressed in the cutaneous tissue |
| 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Histological study of skin tissue |
|
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Inclusion Criteria:
For the control group: Sensiscalp score = 0/20 Sensitive scalp group: Sensiscalp score ≥ 3/20 with pruritus sensation ≥ 2/20
Exclusion Criteria:
Women are more likely than men to have a sensitive scalp, so in order to have a more homogenous study population, we chose to include 40 women.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emilie BRENAUT, Dr | Contact | 2 98 22 35 90 | +33 | emilie.brenaut@chu-brest.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chu Brest | Recruiting | Brest | 29200 | France |
All collected data that underlie results in a publication
Data will be available beginning three years and ending fifteen years following the final study report completion
Data access requests will be reviewed by the internal committee of Brest UH. Requestors will be required to sign and complete a data access agreement.
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case-control study
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Histological and innervation analyses will be carried out in a blinded fashion.
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| a general health questionnaire | Other | a general health questionnaire : demographics, history, treatment, smoking, alcohol consumption, phototype. |
|
| Questionnaires concerning their sensitive scalp | Other |
|
|
| Collection of skin microbiota | Procedure | The skin microbiome is collected using a sterile swab rubbed against the scalp for 60 seconds |
|
| 1 day |
| Study of innervation | 1) Protein expression in biopsies - immunofluorescent staining -> Quantify free nerve endings in the epidermis and the dermis and compare between the 2 groups (sensitive scalp and non-sensitive scalp) | 1 day |
| Study of the skin microbiome | Quantification and characterization of microorganisms | 1 day |