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 curren...

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Autor principal:	Carolyn Ellis
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2013
Materias:	notalgia paresthetica pruritus cutaneous neuropathy neuropathic itch backscratcher Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/264f2bb1bb0f48a58f9058477574bbd9
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spelling	oai:doaj.org-article:264f2bb1bb0f48a58f9058477574bbd92021-11-17T08:32:57ZNotalgia paresthetica: the unreachable itch10.5826/dpc.0301a022160-9381https://doaj.org/article/264f2bb1bb0f48a58f9058477574bbd92013-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/964https://doaj.org/toc/2160-9381 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: Comprehensive literature review using PubMed to inspect the available data on NP. Results: The most likely cause of NP is cutaneous nerve damage. Many therapies have been tried in the treatment of NP, mostly in small case studies. Conclusions: The published cases and studies suggest symptoms of NP are due to a cutaneous sensory neuropathy. Treatments addressing the condition as such are more successful than traditional itch therapies. In many cases, a simple explanation for the persistent pruritus is satisfactory for patients. For very distressing cases, therapy should address the condition as a benign sensory neuropathy. Further studies are needed to evaluate which treatments have the greatest potential for providing symptom relief. Carolyn EllisMattioli1885articlenotalgia parestheticaprurituscutaneous neuropathyneuropathic itchbackscratcherDermatologyRL1-803ENDermatology Practical & Conceptual (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	notalgia paresthetica pruritus cutaneous neuropathy neuropathic itch backscratcher Dermatology RL1-803
spellingShingle	notalgia paresthetica pruritus cutaneous neuropathy neuropathic itch backscratcher Dermatology RL1-803 Carolyn Ellis Notalgia paresthetica: the unreachable itch
description	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: Comprehensive literature review using PubMed to inspect the available data on NP. Results: The most likely cause of NP is cutaneous nerve damage. Many therapies have been tried in the treatment of NP, mostly in small case studies. Conclusions: The published cases and studies suggest symptoms of NP are due to a cutaneous sensory neuropathy. Treatments addressing the condition as such are more successful than traditional itch therapies. In many cases, a simple explanation for the persistent pruritus is satisfactory for patients. For very distressing cases, therapy should address the condition as a benign sensory neuropathy. Further studies are needed to evaluate which treatments have the greatest potential for providing symptom relief.
format	article
author	Carolyn Ellis
author_facet	Carolyn Ellis
author_sort	Carolyn Ellis
title	Notalgia paresthetica: the unreachable itch
title_short	Notalgia paresthetica: the unreachable itch
title_full	Notalgia paresthetica: the unreachable itch
title_fullStr	Notalgia paresthetica: the unreachable itch
title_full_unstemmed	Notalgia paresthetica: the unreachable itch
title_sort	notalgia paresthetica: the unreachable itch
publisher	Mattioli1885
publishDate	2013
url	https://doaj.org/article/264f2bb1bb0f48a58f9058477574bbd9
work_keys_str_mv	AT carolynellis notalgiaparestheticatheunreachableitch
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Notalgia paresthetica: the unreachable itch

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