Brachioradial photopruritus-a rare chronic photodermatosis in Europe

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

doi:10.1046/j.1365-2133.1996.d01-1030.x

Cited by 9 publications

(6 citation statements)

References 5 publications

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“…[1][2][3] For nearly 30 years, BRP was considered to be related to ultraviolet (UV) irradiation because UV exposure worsens the symptom. 2,[4][5][6][7][8][9][10][11][12][13][14] As early as 1983, Heyl 3 proposed that BRP may be caused by nerve injury in the cervical spine or by nerve compression (NC). Several recent studies have suggested that BRP may result from cervical spine lesions such as radiculopathy, disk herniation, osteophytes, or spinal neoplasms.…”

mentioning

confidence: 99%

Brachioradial pruritus as a result of cervical spine pathology: The results of a magnetic resonance tomography study

Marziniak

Phan

Raap

et al. 2011

Journal of the American Academy of Dermatology

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confidence: 99%

Brachioradial pruritus as a result of cervical spine pathology: The results of a magnetic resonance tomography study

Marziniak

Phan

Raap

et al. 2011

Journal of the American Academy of Dermatology

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“…Die Patienten geben häufig nicht ein reines Jucken an, sondern vielmehr auch eine brennende oder schmerzende Komponente [5,12,18]. Bei chronischem brachioradialen Pruritus entwickeln sich nicht selten durch das chronische Kratzen Lichenifikationen, Prurigo simplex oder Prurigo nodularis [20,18].…”

Section: Tab 1 Brachioradialer Pruritusunclassified

“…Es wurden verschiedene Ursachen diskutiert, u. a. eine chronische UV-Exposition der Haut. Gepaart mit der Beobachtung eines saisonalen Auftretens des Pruritus zwischen Juli und November [20] führte dies anfänglich zu dem Namen "solarer Pruritus" oder "recurrent solar dermopathy [20,12]. In diesem Zusammenhang wurden immer wieder Patienten beschrieben, die in den Tropen oder Subtropen leben oder viele Outdoor-Freizeitaktivitäten wahrnehmen [20,10,19].…”

Section: Tab 1 Brachioradialer Pruritusunclassified

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Brachioradialer Pruritus

et al. 2006

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We report on a female patient with brachioradial pruritus, in whom the cause could be verified by purposeful diagnostics (e. g., MRI). The clinical symptoms with localized itching result from circumscribed nerve root compression and hyperexcitation of the nerve fibers. Under treatment with gabapentin, an anticonvulsant with a very good analgesic and good antipruritic effect, the itch ceased and the skin changes healed. This case shows that this special form of neuropathic itch requires targeted therapy, which apart from symptomatic treatment should primarily focus on remedying the cause, if feasible.

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“…Although this condition was initially described in 1968 by Waisman, 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 and cervical spine disease …”

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confidence: 99%

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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Brachioradial photopruritus-a rare chronic photodermatosis in Europe

Cited by 9 publications

References 5 publications

Brachioradial pruritus as a result of cervical spine pathology: The results of a magnetic resonance tomography study

Brachioradial pruritus as a result of cervical spine pathology: The results of a magnetic resonance tomography study

Brachioradialer Pruritus

Brachioradial pruritus: Mayo Clinic experience over the past decade

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