Case report: notalgia paresthetica

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Notalgia paresthetica: the unreachable itch

BACKGROUND Notalgia paresthetica (NP) is a very common, under-recognized condition characterized by pruritus in a unilateral, dermatomal distribution in the mid-back. Chronic pruritus is sometimes accompanied by pain, paresthesias, or altered sensation to touch. OBJECTIVES To review the current literature with regards to the cause of NP and its most appropriate treatment. METHODS Comprehens...

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Neuropathic Itch of the Back: A Case of Notalgia Paresthetica

Notalgia paresthetica refers to an isolated mononeuropathy involving chronic localized itch or paresthesia most often at the skin of the scapula or surrounding regions. There are no specific skin manifestations except those arising from chronic scratching and rubbing. The specific etiology remains unknown; however, it has been theorized that the neuropathic itch is caused by sensory nerve entra...

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A Case Report of Refractory Notalgia Paresthetica Treated with Lidocaine Infusions

BACKGROUND Notalgia paresthetica is a neuropathic condition that manifests as a chronic itch in the thoraco-dorsal region. It is often resistant to treatment, and specific guidelines for its management are lacking. As such, we present a treatment approach with intravenous lidocaine infusions. CASE REPORT The case involves a 50-year-old woman with spinal cord injury caused by an epidural abscess...

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Notalgia paresthetica: successful treatment with exercises.

Notalgia paresthetica (NP) presents typically as a unilateral localized itch in the midscapular area. Although the pathogenesis of NP has not been fully elucidated, it is widely believed to be a neurogenic itch resulting from spinal nerve impingement or chronic nerve trauma (1, 2). Massey & Fleet (3) postulate that spinal nerves from T2 to T6 emerge through the multifidus spinae muscle at right...

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Notalgia paresthetica, a neurosensory syndrome that typically occurs on the upper back, has multiple clinical symptoms with variable degrees of expression in each individual afflicted with the condition. The involved site is usually hyperpigmented and is associated with burning, coldness, hypoesthesia, increased pain, pruritus and/or tingling. In the affected area, the number of nerve fibers ma...

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ژورنال

عنوان ژورنال: International Physical Medicine & Rehabilitation Journal

سال: 2019

ISSN: 2574-9838

DOI: 10.15406/ipmrj.2019.04.00201