RT Book, Section A1 Baumann, Leslie S. A2 Baumann, Leslie S. A2 Rieder, Evan A. A2 Sun, Mary D. SR Print(0) ID 1190668630 T1 Burning and Stinging Skin (Type 3 Sensitive Skin) T2 Baumann’s Cosmetic Dermatology, 3e YR 2022 FD 2022 PB McGraw Hill LLC PP New York, NY SN 9780071794190 LK dermatology.mhmedical.com/content.aspx?aid=1190668630 RD 2024/04/16 AB SUMMARY POINTSWhat’s Important?“Stingers” are a subset of people who feel stinging, burning, or other painful sensations upon exposure to certain chemical (e.g., skincare ingredients) and/or physical factors.In the Baumann Skin Typing System, stingers are classified as having Baumann S3 sensitive skin. Identifying this skin type using the Baumann Skin Type Indicator (BSTI) is important to prevent patient discomfort and noncompliance.What’s New?Mechanisms of burning and stinging work through an increased nervous system response, mediated by sensory nerve fibers connected to specialized receptors in the superficial skin layer.Though causes of stinging vary by individual, common ingredients include those with a low pH (e.g., lactic, glycolic, salicylic, and sorbic acids, among others), alcohol, and capsaicin.What’s Coming?Future research exploring associations between stinging, burning, and itch, as well as the pathophysiology of diseases such as rosacea, are needed to improve treatment options for this subtype of sensitive skin.Large-scale studies of stinging in non-white populations are needed to better understand the relationship between stinging and ethnicity.