Brachioradial photopruritus—a rare chronic photodermatosis in Europe

Orton, D.I.; Wakelin, S. H.; George, S.

doi:10.1111/j.1365-2133.1996.tb01523.x

Cited by 15 publications

(4 citation statements)

References 5 publications

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“…2,3,14,16,17 It is notable that BRP has been documented also in patients residing in areas with temperate climates, but mostly during the summer months. 4,6,8,13,18,19 Thus, our data would support a role for sun exposure in the pathogenesis of BRP.…”

Section: Discussionsupporting

confidence: 66%

“…Initial reports of BRP were from sunny regions such as Africa, Hawaii, Florida and the Middle East (Table ) . It is notable that BRP has been documented also in patients residing in areas with temperate climates, but mostly during the summer months . Thus, our data would support a role for sun exposure in the pathogenesis of BRP.…”

Section: Discussionsupporting

confidence: 54%

“…Although this condition was initially described in 1968 by Waisman, 2 the exact cause of BRP is still debated due to a paucity of data on patients with this uncommon form of localized itching. The two most common theories include extensive solar ultraviolet radiation [3][4][5][6][7] and cervical spine disease. [8][9][10] To date, there have been very few cases series reported; most publications describe single cases.…”

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confidence: 99%

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Brachioradial pruritus: Mayo Clinic experience over the past decade

Mirzoyev

Davis

2013

Br J Dermatol

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SummaryBackground Brachioradial pruritus (BRP) is a fascinating condition that is seen increasingly often, but any additional data from retrospective observational studies can still enhance our understanding. Objectives To review our experience at the Mayo Clinic with patients presenting with BRP. Methods We retrospectively reviewed the clinical records of patients diagnosed with BRP between 1999 and 2011. Results In total, 111 patients (80 female, 72%) had been diagnosed with BRP. Their mean age was 59 years, range 12-84 years. Symptoms were bilateral in 84 (75Á7%). Fifty-four patients (48Á6%) reported prolonged exposure to the sun, and 16 had a history of neck concerns. Forty-five (40Á5%) had undergone imaging studies of the neck; of these, eight had foraminal stenosis, six had protrusion of the intervertebral disk and six had stenosis of the spinal canal; 10 had more than one cervical abnormality. Thirty-one patients had been referred to neurology; eight of these had BRP attributed to a radiculopathy or peripheral neuropathy. Several topical and oral medications were prescribed. Seventy-five patients had a follow-up; of these, nine (12%) had complete resolution, 13 (17%) had improvement, four (5%) showed no change and 49 (65%) had no mention of BRP. Conclusions Brachioradial pruritus presented most commonly in female patients and was observed over a wide age range. Although a third of patients with imaging studies had cervical abnormalities, the significance of these findings is unclear, as no structural causes of BRP were found in most cases. Some treatments were more successful than others.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionsupporting

confidence: 54%

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confidence: 99%

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Brachioradial pruritus: Mayo Clinic experience over the past decade

Mirzoyev

Davis

2013

Br J Dermatol

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“…In anderen Fällen liegt dem brachioradialen Pruritus eine Nervenkompression z. B. durch Halsrippen zugrunde [65].…”

Section: Zentrale Verarbeitung Von Juckempfindenunclassified

Pruritus – Pathophysiologie, Klinik und Therapie – Eine Übersicht

Ständer

Weißhaar

Steinhoff

et al. 2003

J Deutsche Derma Gesell

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Pruritus is an unpleasant sensory perception of the skin associated with the desire to scratch. As a physiological nociception, pruritus leads to the removal of harmful agents such as parasites and plants from the skin surface. More often, pruritus occurs as a severe and therapy-refractory symptom of various underlying dermatological and systemic diseases. Comparable to chronic pain, chronic pruritus worsens the general condition and may lead to physical and psychological exhaustion. Until the 1990s, pruritus had been regarded as an incomplete pain sensation. Only recently, itch was defined as a separate, pain-independent sensation with its own mediators, spinal neurons and cortical areas. These observations led to the development of new therapeutic modalities. This paper gives an overview of itch pathophysiology, clinical types and therapies.

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The Skin and the Nervous System

Eedy¹

2010

Rook's Textbook of Dermatology

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Brachioradial photopruritus—a rare chronic photodermatosis in Europe

Cited by 15 publications

References 5 publications

Brachioradial pruritus: Mayo Clinic experience over the past decade

Brachioradial pruritus: Mayo Clinic experience over the past decade

Pruritus – Pathophysiologie, Klinik und Therapie – Eine Übersicht

The Skin and the Nervous System

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