Seborrheic Dermatitis: This condition is a common cause of sensitive skin on the scalp, including the occipital area. It is characterized by inflammation, redness, and flaking skin, which can cause sensitivity.

Contact Dermatitis: This is an allergic reaction or irritation caused by hair care products, dyes, or other substances coming into contact with the scalp. It can lead to redness, itching, and sensitivity in the affected area.
Psoriasis: Although it can occur anywhere on the body, psoriasis often affects the scalp, leading to red, scaly patches that can be sensitive to the touch.
Eczema (Atopic Dermatitis): Eczema can affect the scalp, causing dryness, itching, and sensitivity, especially in individuals with a history of atopic diseases.

Malignant Neoplasms (e.g., Squamous Cell Carcinoma, Basal Cell Carcinoma): Although rare, skin cancers can present with sensitivity, especially if they ulcerate or become infected. Early detection is crucial for effective treatment.
Infections (Bacterial, Fungal, or Viral): Infections such as folliculitis, impetigo, or herpes zoster (shingles) can cause skin sensitivity, redness, and other symptoms on the scalp. Prompt diagnosis and treatment are necessary to prevent complications.

Keratosis Pilaris: A condition characterized by rough, dry skin that can sometimes affect the scalp, leading to sensitivity.
Pityriasis Amiantacea: A condition where there is a thick, yellowish scale on the scalp, often associated with psoriasis or seborrheic dermatatitis, which can cause sensitivity.
Lichen Planopilaris: An inflammatory condition that leads to hair loss and scalp sensitivity, often accompanied by redness and scaling.