Notaljia Parestetikalı Hastalardaki Omurga Patolojileri ve Güçlendirme Egzersizlerinin Kaşıntıyı Gidermede Olumlu Etkisi: Olgu Serisi

Abstract

Objectives: 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.