Notalgia paresthetica: the unreachable itch.
Notalgia paresthetica: the unreachable itch.
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DOI：
10.5826/dpc.0301a02
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发表时间：
2013-01
影响因子：
2.8
通讯作者：
Ellis C
中科院分区：
文献类型：
--
作者：
Ellis C
Ntalgia paresthetica(NP)是一种非常常见的疾病，其特征是单侧皮肤瘙痒，皮肤瘤分布在背部中部。慢性瘙痒有时伴有疼痛、感觉异常或触觉改变。回顾目前有关NP的病因及其最合适的治疗方法的文献。使用PubMed进行全面的文献综述，以检验有关NP的现有数据。NP最可能的原因是皮肤神经损伤。在NP的治疗中，已经尝试了许多疗法，大多是在小病例研究中。已发表的病例和研究表明，NP的症状是由于皮肤感觉神经病变。治疗这种疾病的方法比传统的瘙痒疗法更成功。在许多情况下，对持续性瘙痒的简单解释对患者来说是令人满意的。对于非常痛苦的病例，治疗应将其视为良性感觉神经病。需要进一步的研究来评估哪些治疗方法具有最大的缓解症状的潜力。
Notalgia paresthetica (NP) is a very common, under-recognized condition characterized by pruritus in a unilateral, dermatomal distribution in the mid-back. Chronic pruritus is sometimes accompanied by pain, paresthesias, or altered sensation to touch. To review the current literature with regards to the cause of NP and its most appropriate treatment. Comprehensive literature review using PubMed to inspect the available data on NP. The most likely cause of NP is cutaneous nerve damage. Many therapies have been tried in the treatment of NP, mostly in small case studies. The published cases and studies suggest symptoms of NP are due to a cutaneous sensory neuropathy. Treatments addressing the condition as such are more successful than traditional itch therapies. In many cases, a simple explanation for the persistent pruritus is satisfactory for patients. For very distressing cases, therapy should address the condition as a benign sensory neuropathy. Further studies are needed to evaluate which treatments have the greatest potential for providing symptom relief.