Characterization of Cowhage-induced Pruritus in Sensitive Skin: An Observational Laboratory Study
Sensitive skin is a prevalent syndrome, characterized by discomfort in response to mild stimuli, which impacts life quality. Its pathomechanism remains insufficiently understood. Pruritus is one of the major symptoms. As one of the experimental models for pruritus, the cowhage skin prick test might provide an insight to the understanding of sensitive skin. This study aimed to specify the characteristics of cowhage-induced pruritus in sensitive skin. 20 female sensitive skin volunteers and 20 controls were recruited. Self-report questionnaires were distributed and their responses evaluated; moreover, alongside assessments by dermatologists, skin physiology assessments, lactic acid sting test, capsaicin test and cowhage skin challenge were performed. This study showed that pruritus in sensitive skin is perceived as more intense and longer-lasting, with different qualities of accompanying sensations than in normal skin. Test results of cowhage skin challenge showed moderate consistency with clinical assessments. The results suggest that cowhage skin challenge could be a new tool for sensitive skin assessment.