[Secondary generalized brachioradial pruritus. An uncommon but easy-to-use differential diagnostic approach to generalized pruritus].
Brachioradial pruritus is a neuropathic form of chronic pruritus and mostly localized on the forearms. We report on a patient whose pruritus generalized 4 months after beginning on the forearms. The mechanism that leads to generalization is still unknown; multiplier factors may be involved. Systemic therapy with anticonvulsants and physical therapy measures produced improvement. This form of pruritus requires a focused, interdisciplinary diagnostic approach and therapy.
Kompetenzzentrum Chronischer Pruritus (KCP), Klinik für Hautkrankheiten, Universitätsklinikum Münster, Von-Esmarch-Str. 58, 48149, Münster, Deutschland, Claudia.Zeidler@ukmuenster.de.
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D000465:Algorithms; D000927:Anticonvulsants / Q000627:therapeutic use; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D005542:Forearm / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D009437:Neuralgia / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D011537:Pruritus / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*; D016896:Treatment Outcome
D000927:Anticonvulsants