Journal Information
Vol. 99. Issue 9.
Pages 719-722 (November 2008)
Share
Share
Download PDF
More article options
Vol. 99. Issue 9.
Pages 719-722 (November 2008)
Case reports
Full text access
Brachioradial Pruritus as a Symptom of Cervical Radiculopathy
Prurito Braquiorradial Como Síntoma de Radiculopatía Cervical
Visits
10120
J. Mataixa,
Corresponding author
mataixdiaz@hotmail.com

Correspondence: Servicio de Dermatología, Hospital General Universitario, Avda. Pintor Baeza, 03010 Alicante, Spain.
, J.F. Silvestrea, J.M. Climentb, N. Pastora, A. Lucasa
a Servicio de Dermatología, Hospital General Universitario de Alicante, Alicante, Spain
b Servicio de Rehabilitación, Hospital General Universitario de Alicante, Alicante, Spain
This item has received
Article information
Abstract

Brachioradial pruritus is characterized by the presence of pruritus on the lateral aspect of the arms. The etiology of this enigmatic entity is the subject of some debate —some authors claim that brachioradial pruritus is a photodermatosis whereas others attribute it to the presence of underlying cervical radiculopathy. In these case reports, we present our experience with brachioradial pruritus and discuss the role of underlying neuropathy in its etiology and that of other types of localized pruritus such as notalgia paresthetica, anogenital pruritus, and burning mouth syndrome.

Key words:
brachioradial pruritus
gabapentin
cervical radiculopathy
Resumen

El prurito braquiorradial (PBR) se caracteriza por la presencia de prurito localizado en la cara lateral de los brazos. Se trata de una entidad enigmática con una etiología controvertida; mientras que algunos autores consideran el PBR como una fotodermatosis, otros atribuyen su aparición a la presencia de una radiculopatía cervical subyacente.

En este artículo se presenta nuestra experiencia con esta entidad y se discute el papel de una neuropatía subyacente en la etiología de este y otros pruritos localizados como la notalgia parestésica, el prurito anogenital o el síndrome de la boca ardiente.

Palabras clave:
prurito braquiorradial
gabapentina
radiculopatía cervical
Full text is only aviable in PDF
References
[1.]
M. Waisman.
Solar pruritus of the elbows (brachioradial summer pruritus).
Arch Dermatol, 98 (1968), pp. 481-485
[2.]
P.J. Walcyk, D.J. Elpern.
Brachioradial pruritus: a tropical dermopathy.
Br J Dermatol, 115 (1986), pp. 177-180
[3.]
J. Wallengren.
Brachioradial pruritus: a recurrent solar dermopathy.
J Am Acad Dermatol, 39 (1998), pp. 803-806
[4.]
T. Heyl.
Brachioradial pruritus.
Arch Dermatol, 119 (1983), pp. 115-116
[5.]
A.D. Cohen, R. Masalha, E. Medvedovsky, D.A. Vardy.
Brachioradial pruritus: a symptom of neuropathy.
J Am Acad Dermatol, 48 (2003), pp. 825-828
[6.]
R. Goodkin, E. Wingard, J.D. Bernhard.
Brachioradial pruritus: cervical spine disease and neurogenic/neuropathic [corrected] pruritus.
J Am Acad Dermatol, 48 (2003), pp. 521-524
[7.]
A. Kavak, M. Dosoglu.
Can a spinal cord tumor cause brachioradial pruritus?.
J Am Acad Dermatol, 46 (2002), pp. 437-440
[8.]
S. Rogers.
Brachioradial pruritus–an enigmatic entity.
Clin Exp Dermatol, 29 (2004), pp. 637-638
[9.]
J. Wallengren, F. Sundler.
Brachioradial pruritus is associated with a reduction in cutaneous innervation that normalizes during the symptom-free remissions.
J Am Acad Dermatol, 52 (2005), pp. 142-145
[10.]
O. Savk, E. Savk.
Investigation of spinal pathology in notalgia paresthetica.
J Am Acad Dermatol, 52 (2005), pp. 1085-1087
[11.]
A.D. Cohen, T. Vander, E. Medvendovsky, A. Biton, S. Naimer, R. Shalev, et al.
Neuropathic scrotal pruritus: anogenital pruritus is a symptom of lumbosacral radiculopathy.
J Am Acad Dermatol, 52 (2005), pp. 61-66
[12.]
G. Lauria, A. Majorana, M. Borgna, R. Lombardi, P. Penza, A. Padovani, et al.
Trigeminal small-fiber sensory neuropathy causes burning mouth syndrome.
[13.]
H. Forssell, S. Jaaskelainen, O. Tenovuo, S. Hinkka.
Sensory dysfunction in burning mouth syndrome.
Pain, 99 (2002), pp. 41-47
[14.]
T.E. Knight, T. Hayashi.
Solar (brachioradial) pruritus–response to capsaicin cream.
Int J Dermatol, 33 (1994), pp. 206-209
[15.]
D.R. Goodless, W.H. Eaglstein.
Brachioradial pruritus: treatment with topical capsaicin.
J Am Acad Dermatol, 29 (1993), pp. 783-784
[16.]
N. Scheinfeld.
The role of gabapentin in treating diseases with cutaneous manifestations and pain.
Int J Dermatol, 42 (2003), pp. 491-495
[17.]
S.M. Winhoven, I.H. Coulson, W.W. Bottomley.
Brachioradial pruritus: response to treatment with gabapentin.
Br J Dermatol, 150 (2004), pp. 786-787
[18.]
J. Kanitakis.
Brachioradial pruritus: report of a new case responding to gabapentin.
Eur J Dermatol, 16 (2006), pp. 311-312
[19.]
E. Savk, O. Bolukbasi, A. Akyol, G. Karaman.
Open pilot study on oxcarbazepine for the treatment of notalgia paresthetica.
J Am Acad Dermatol, 45 (2001), pp. 630-632
[20.]
A. Stellon.
Neurogenic pruritus: an unrecognised problem? A retrospective case series of treatment by acupuncture.
Acupunct Med, 20 (2002), pp. 186-190
[21.]
C.P. Tait, E. Grigg, C.J. Quirk.
Brachioradial pruritus and cervical spine manipulation.
Australas J Dermatol, 39 (1998), pp. 168-170
[22.]
J.D. Bernhard, J.S. Bordeaux.
Medical pearl: the ice-pack sign in brachioradial pruritus.
J Am Acad Dermatol, 52 (2005), pp. 1073
Copyright © 2008. Academia Española de Dermatología y Venereología and Elsevier España, S.L.
Download PDF
Idiomas
Actas Dermo-Sifiliográficas
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?