Multimodal approach for the management of Hunan hand syndrome: a case report.
Hunan hand syndrome, a form of painful contact dermatitis, is a rare case finding. It is usually seen in people with continuous and prolonged exposure to chili peppers. The main ingredient in chili peppers is capsaicin that leads to the clinical condition, Hunan hand syndrome. This is paradoxical to the use of capsaicin as local application for relief of pain in various clinical situations, such as diabetic neuropathy and postherpetic neuralgia. We report a case of Hunan hand syndrome, managed successfully by using a multimodal approach comprised of a continuous stellate ganglion block, gabapentin, local ice water, and fluocinonide application.
Department of Anesthesiology, University College of Medical Sciences, University of Delhi & GTB Hospital, Delhi, India. profashoksaxena@gmail.com
Ashok Kumar
AK
Saxena
Rajani
R
Mandhyan
D000328:Adult; D000779:Anesthetics, Local / Q000008:administration & dosage; D001340:Autonomic Nerve Block / Q000379:methods*; D002045:Bupivacaine / Q000008:administration & dosage; D002211:Capsaicin / Q000009:adverse effects*; D002212:Capsicum / Q000009:adverse effects* / Q000737:chemistry; D003877:Dermatitis, Contact / Q000209:etiology / Q000601:surgery*; D005260:Female; D006225:Hand; D006801:Humans; D013233:Stellate Ganglion / Q000601:surgery; D013577:Syndrome
D000779:Anesthetics, Local; D002211:Capsaicin; D002045:Bupivacaine