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NOTALGIA PARESTHETICA.

Mirna Šitum1, Maja Kolić1, Nika Franceschi1

  • 11Department of Dermatology and Venereology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia; 2Department of Orthopedic Surgery, School of Medicine, University of Zagreb, Zagreb, Croatia.

Acta Clinica Croatica
|June 7, 2019
PubMed
Summary

Notalgia paresthetica is a common sensory neuropathy causing chronic upper back itching and skin changes. While its exact cause is unknown, it involves thoracic spinal nerve damage, and treatments offer limited relief.

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Area of Science:

  • Neurology
  • Dermatology

Background:

  • Notalgia paresthetica is an under-recognized condition causing chronic pruritus on the upper back.
  • Symptoms include itching, burning, tingling, numbness, and hyperpigmentation.

Purpose of the Study:

  • To summarize the current understanding of notalgia paresthetica.
  • To discuss its etiology, clinical presentation, and treatment challenges.

Main Methods:

  • Review of existing literature on notalgia paresthetica.
  • Analysis of proposed pathomechanisms and treatment outcomes.

Main Results:

  • Notalgia paresthetica is widely accepted as a sensory neuropathy.
  • It results from damage to the posterior rami of thoracic spinal nerves T2-T6.
Keywords:
HyperesthesiaNotalgiaParesthesiaPruritus

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  • Current treatments provide variable and often temporary relief.

    • Conclusions:

    • Notalgia paresthetica is a distinct neuropathic condition.
    • Further research is needed to understand its etiology and develop effective treatments.