Brachioradial pruritus

Heyl, T.

doi:10.1001/archderm.119.2.115

Cited by 17 publications

(9 citation statements)

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“…The pruritus is thought to be due to a sensory neuropathy but its exact pathogenesis remains illunderstood. [2][3][4][5][6] The prevalence of the condition has never been determined but certain reports suggest it is a rare occurrence. Acupuncture has been used to treat skin conditions, 7 but only one study has looked at treating pruritus as a symptom in this manner.…”

Section: Introductionmentioning

confidence: 99%

Neurogenic Pruritus: An Unrecognised Problem? A Retrospective Case Series of Treatment by Acupuncture

Stellon

2002

Acupunct Med

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Intractable localised segmental pruritus without a rash has been reported over the years under various titles depending on the area of the body affected. Notalgia paraesthetica and brachioradial pruritus are the two terms used for what is believed to be a form of neuropathy. The clinical observations reported here suggest that other localised cases of pruritus exist that share common clinical features, and the term neurogenic pruritus is suggested to encompass these under one clinical condition. Acupuncture has been used to treat skin conditions, of which pruritus is one symptom. This retrospective study looked at the symptomatic relief of neurogenic pruritus in 16 patients using acupuncture. In 12 cases the affected dermatomes of the body were innervated by cervical spinal nerves, seven innervated by dorsal spinal nerves and four innervated by the lumbar spinal nerves. Seven patients had areas affected by two different regions of the spine. Restricted neck or back movements were noted in patients as were areas of paravertebral spasm or tenderness of the muscles. Total resolution of symptoms as judged by VAS occurred in 75% of patients. Relapse occurred in 37% of patients within 1-12 months following treatment. Acupuncture appeared to be effective in alleviating the distressing symptom of itching in patients presenting with neurogenic pruritus.

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Section: Introductionmentioning

confidence: 99%

Neurogenic Pruritus: An Unrecognised Problem? A Retrospective Case Series of Treatment by Acupuncture

Stellon

2002

Acupunct Med

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“…Changes in neck position triggered symptoms in 1 patient with BRP, and whiplash injury was a precipitant in 2 others (6). Heyl (10) argued that BRP was a result of cervical nerve compression after reporting 14 patients with BRP, none claiming aggravation from sun exposure. Four of these patients showed radiographic evidence of degenerative changes and osteoarthritis between the fourth and seventh cervical vertebrae; 1 already underwent C6-C7 fusion, and 3 achieved significant improvement with physical therapy and traction.…”

Section: Discussionmentioning

confidence: 99%

Intractable Pruritus After Traumatic Spinal Cord Injury

Crane

Jaffee

Kundu

2009

The Journal of Spinal Cord Medicine

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Background: This report describes a young woman with incomplete traumatic cervical spinal cord injury and intractable pruritus involving her dorsal forearm. Method: Case report. Findings: Anatomic distribution of the pruritus corresponded to the dermatomal distribution of her level of spinal cord injury and vertebral fusion. Symptoms were attributed to the spinal cord injury and possible cervical root injury. Pruritus was refractory to all treatments, including topical lidocaine, gabapentin, transcutaneous electrical nerve stimulation, intravenous Bier block, stellate ganglion block, and acupuncture. Conclusions: Further understanding of neuropathic pruritus is needed. Diagnostic workup of intractable pruritus should include advanced imaging to detect ongoing nerve root compression. If diagnostic studies suggest radiculopathy, epidural steroid injection should be considered. Because the autonomic nervous system may be involved in complex chronic pain or pruritic syndromes, sympatholysis via such techniques as stellate ganglion block might be effective.

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“…This itching tends to have a segmental distribution and is believed to be a sensory neuropathy. [4][5][6][7][8][9] In notalgia paraesthetica the segmental distribution is T2 to T6, and in brachioradial pruritus the pruritus affects the outer aspects of the arms. More recently a case series was reported of localised segmental pruritus affecting different segments of the body and not falling into either of these two diagnostic categories: the term 'neurogenic pruritus' was used for these cases.…”

Section: Literature Reviewmentioning

confidence: 99%

The Use of Laser Acupuncture for the Treatment of Neurogenic Pruritus in a Child – a Case History

Stellon

2005

Acupunct Med

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This report describes the successful treatment using laser acupuncture of a six year old girl with neurogenic pruritus of the abdomen. It is the first case report of neurogenic pruritus treated by laser acupuncture. The main advantage of using low energy laser, as opposed to acupuncture needles, to stimulate points, is that low energy laser causes little or no sensation, which is particularly useful when treating children.

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Brachioradial pruritus

Cited by 17 publications

References 0 publications

Neurogenic Pruritus: An Unrecognised Problem? A Retrospective Case Series of Treatment by Acupuncture

Neurogenic Pruritus: An Unrecognised Problem? A Retrospective Case Series of Treatment by Acupuncture

Intractable Pruritus After Traumatic Spinal Cord Injury

The Use of Laser Acupuncture for the Treatment of Neurogenic Pruritus in a Child – a Case History

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