Spinal pathologies in patients with notalgia paresthetica and positive effect of strengthening exercises on itch relief: Case series

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dc.contributor.authorGüder, S.
dc.contributor.authorGüder, H.
dc.date.accessioned2024-07-12T21:40:05Z
dc.date.available2024-07-12T21:40:05Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractObjectives: Notalgia paresthetica is a subgroup of localized neuropathic chronic itch and is due to a nerve entrapment limited to the corresponding dermatome. Neuropathic itching often includes signs of sensitive skin syndrome (numbness, burning, stinging, tingling, etc.). It does not respond to antipruritic treatments used in other itchy dermatoses. The relationship between neuropathic itching and spinal pathology has been reported in many studies. Degenerative disc hernias may play a role in chronic itching localized to the back, hand, and brachioradial areas. We aimed to remind these patients we encountered in our clinical practice. Material and Methods: The files of 12 patients with notalgia paresthetica who applied to our dermatology outpatient clinic between 2016-2018 were reviewed. Diagnostic criteria are: No primary skin lesions in the affected skin area, the absence of any other itchy skin disease, detection of spinal pathology compatible with the itching area in magnetic resonance imaging, no other history of systemic disease or medication to explain itching. Results: Spinal canal stenosis, herniated nucleus pulposus, dural sac compression, and non-compressive bulging and protrusions were seen as spinal pathology. Itching completely disappeared in one of the four patients who conformed to the program, and the itch severity decreased in the other three patients. Conclusion: It should be kept in mind that itching may be of neuropathic origin in patients with localized chronic itching. Spine strengthening and stretching exercises may be a good option as primary or adjuvant therapy in neuropathic itching due to spinal pathology. Advanced clinical studies are needed. Copyright © 2021 by Türkiye Klinikleri. This is an openen_US
dc.identifier.doi10.5336/dermato.2020-80480
dc.identifier.endpage85en_US
dc.identifier.issn1300-0330
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-85113161873en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage81en_US
dc.identifier.urihttps://doi.org/10.5336/dermato.2020-80480
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7134
dc.identifier.volume31en_US
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherOrtadogŸu Reklam Tanitim Yayincilik Turizm Egitim Insaat Sanayi ve Ticaret A.S.en_US
dc.relation.ispartofTurkiye Klinikleri Dermatolojien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY04921
dc.subjectNeuropathic Itchen_US
dc.subjectNotalgia Parestheticaen_US
dc.subjectSpinal Pathologyen_US
dc.subjectStrengthening Exercisesen_US
dc.titleSpinal pathologies in patients with notalgia paresthetica and positive effect of strengthening exercises on itch relief: Case seriesen_US
dc.typeArticle
dspace.entity.typePublication

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