Alleviation of notalgia paresthetica with duloxetine after several lines offailed treatment: A case report.
Duloxetine
Neurogenic itch
Notalgia Paresthetica
Pruritus
Journal
Case reports in women's health
ISSN: 2214-9112
Titre abrégé: Case Rep Womens Health
Pays: Netherlands
ID NLM: 101682122
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
18
02
2020
revised:
23
03
2020
accepted:
24
03
2020
entrez:
11
4
2020
pubmed:
11
4
2020
medline:
11
4
2020
Statut:
epublish
Résumé
Chronic pruritus affects up to 20% of the population; about 8% of patients suffer from neurogenic pruritus, including notalgia paresthetica (NP). This is a syndrome of benign, chronic itch of the unilateral medial border of the scapula of unknown etiology and limited treatment efficacy. Here we report the background on NP, followed by a classic case presentation of a 63-year-old woman. We report on difficulty in her diagnosis and numerous failed lines of treatment, until initiation of treatment with duloxetine, which provided her with long-lasting benefit for the first time. Delay in diagnosis is common for NP, and though there are many options for treatment, evidence is lacking to support their efficacy. Finding an effective, well-tolerated regimen to alleviate long-term suffering brought on by this syndrome is heavily dependent on early identification. Our case provides anecdotal evidence for both treatment efficacy as well as the etiology of this poorly understood phenomenon.
Identifiants
pubmed: 32274333
doi: 10.1016/j.crwh.2020.e00197
pii: S2214-9112(20)30027-8
pii: e00197
pmc: PMC7132164
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e00197Informations de copyright
© 2020 Published by Elsevier B.V.
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