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Related Concept Videos

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists01:28

Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists

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Neurokinin 1 (NK1) receptors are distributed across the GI tract, vagal afferents, and key CNS regions including the central vomiting center and chemoreceptor trigger zone (CTZ) Chemotherapy agents stimulate enterochromaffin cells in the gastrointestinal (GI) tract to release large amounts of substance P (SP). SP is a neuropeptide released by specific sensory nerves in response to many different stressors, including those in the GI mucosa affected by chemotherapy.  SP binds and activates...
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Chemotherapy-Induced Nausea and Vomiting: Dopamine Receptor Antagonists01:29

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Dopamine receptor antagonists, also known as antipsychotic agents, are critical in managing chemotherapy-induced vomiting. These antiemetic agents block dopamine receptors in the chemoreceptor trigger zone (CTZ), inhibiting signal transmission to the vomiting center. Antipsychotic agents encompass phenothiazines (PTZ), butyrophenones, benzamides, and thienobenzodiazepines (Zyprexa), which are utilized for their antiemetic and sedative properties.
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Related Experiment Video

Updated: Mar 15, 2026

Cheek Injection Model for Simultaneous Measurement of Pain and Itch-related Behaviors
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Cheek Injection Model for Simultaneous Measurement of Pain and Itch-related Behaviors

Published on: September 27, 2019

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Paraneoplastic Itch Management.

Brandon Rowe, Gil Yosipovitch

    Current Problems in Dermatology
    |September 1, 2016
    PubMed
    Summary

    Paraneoplastic itch, a symptom linked to cancer, often accompanies lymphoproliferative disorders or cholestatic solid tumors. Effective treatment focuses on the underlying malignancy, with other therapies available for refractory cases.

    Area of Science:

    • Oncology
    • Dermatology
    • Internal Medicine

    Background:

    • Paraneoplastic itch is a systemic reaction to an underlying malignancy.
    • It is frequently associated with lymphoproliferative malignancies and solid tumors causing cholestasis.
    • This type of itch can manifest with or without a primary rash, or alongside conditions like erythroderma, acanthosis nigricans, dermatomyositis, Grover's disease, and eruptive seborrheic keratosis.

    Purpose of the Study:

    • To review the etiology, clinical presentation, and management of paraneoplastic itch.
    • To highlight the association between paraneoplastic itch and various malignancies.
    • To discuss therapeutic strategies for paraneoplastic itch, including malignancy-targeted treatments and alternative options.

    Main Methods:

    • Literature review of paraneoplastic itch.

    Related Experiment Videos

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    Cheek Injection Model for Simultaneous Measurement of Pain and Itch-related Behaviors
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  • Analysis of associated malignancies and dermatologic conditions.
  • Summary of treatment modalities.
  • Main Results:

    • Paraneoplastic itch is strongly linked to lymphoproliferative malignancies and cholestatic solid tumors.
    • Dermatologic manifestations can vary, including erythroderma and eruptive seborrheic keratosis.
    • Treatment primarily involves addressing the underlying cancer.

    Conclusions:

    • Management of paraneoplastic itch requires a dual approach: treating the primary malignancy and managing symptoms.
    • For treatment-refractory cases, pharmacologic interventions such as SSRIs, mirtazapine, gabapentin, thalidomide, opioids, aprepitant, and HDAC inhibitors show efficacy.