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

Marziniak, Martin; Phan, Ngoc Quan; Raap, Ulrike; Siepmann, Dorothee; Schürmeyer-Horst, Funda; Pogatzki-Zahn, Esther; Niederstadt, Thomas; Ständer, Sonja

doi:10.1016/j.jaad.2010.07.036

Cited by 74 publications

(76 citation statements)

References 55 publications

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“…BRP clinically manifests as pruritus localized to the extensor forearms and distal arms, but it can also include the proximal arms, shoulders, neck, back and chest [49]. This form of pruritus is often bilateral and limited to the upper body.…”

Section: Neuropathic Itchmentioning

confidence: 99%

Chronic Pruritus in the Elderly: Pathophysiology, Diagnosis and Management

2015

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Chronic itch in the elderly is a common problem, with a significant impact on quality of life and sleep in elderly patients. Chronic itch may be attributable to several causes, including dry skin, immunosenescence and neural degeneration. Itch may also be caused by skin diseases, such as seborrhoeic dermatitis and stasis dermatitis; systemic conditions, such as end-stage renal disease and diabetes; and psychogenic conditions, such as depression and anxiety. The use of polypharmacy may also cause itch, with or without a rash. Specifically, thiazides and calcium channel blockers have been known to cause itch in elderly patients. Management should be tailored according to the underlying dermatological or systemic aetiology of itch. Topical treatment is the mainstay of therapy, providing special emphasis on skin hydration and barrier repair. In addition, topical and oral medications that target the nervous system and reduce neuronal hypersensitization, such as gabapentin and selective antidepressants, have a role in treating patients with severe chronic itch. Furthermore, management must account for changes in metabolism and pharmacokinetics of drugs in the aging population in order to prevent the occurrence of adverse effects.

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Section: Neuropathic Itchmentioning

confidence: 99%

Chronic Pruritus in the Elderly: Pathophysiology, Diagnosis and Management

2015

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“…[2][3][4][5] In a study 2 of 41 patients with brachioradial pruritus, 29 patients had abnormal magnetic resonance (MR) images showing nerve compression correlating with the dermatomal distribution of the pruritus. A case series 3 of 10 patients with notalgia paresthetica showed a relationship between the location of the symptoms and the abnormal images in 7 patients.…”

mentioning

confidence: 99%

Scalp Dysesthesia Related to Cervical Spine Disease

Thornsberry¹,

English²

2013

JAMA Dermatol

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“…Neuropathic itch may originate from any lesion along this pathway. Peripheral causes for neuropathic itch are cervical/lumbar radiculopathy due to tumor, disc pathologies, postherpetic neuralgia, polyneuropathy (5)(6)(7)(8) and central causes are Creutzfeldt-Jakob disease, multiple sclerosis and neuromyelitis optica (9-11).…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presenting Symptom in an Atypical Case of Acute Inflammatory Polyradiculopathy: Facial Pruritus

Gündüz¹,

Ersen²,

Yilmaz³

et al. 2015

tnd

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Re cei ved/Ge lifl Ta ri hi: 22.12.2013 Ac cep ted/Ka bul Ta ri hi: 04.03.2014 Itchiness is the desire for mechanical irritation of the skin and it may result from various dermatological and sometimes neurological diseases. Neurological causes for itch are relatively unknown and frequently overlooked. Here, we report a case of possible acute inflamatory polyradiculopathy who had facial pruritus and diplopia as the initial symptoms. Diagnosis of our patient was delayed because initial diplopia and pruritus complaints were considered as nonspecific and unrelated to the nervous system. We suggest that pruritus may be a remarkable neurological finding especially when it is accompanied by other neurological symptoms. (Turkish Journal of Neurology 2015; 21:74-6)

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

Cited by 74 publications

References 55 publications

Chronic Pruritus in the Elderly: Pathophysiology, Diagnosis and Management

Chronic Pruritus in the Elderly: Pathophysiology, Diagnosis and Management

Scalp Dysesthesia Related to Cervical Spine Disease

An Unusual Presenting Symptom in an Atypical Case of Acute Inflammatory Polyradiculopathy: Facial Pruritus

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