Department of Dermatology, Complejo Hospitalario Universitario de Vigo, Vigo, Spain.
J Eur Acad Dermatol Venereol. 2010 Jun;24(6):730-2. doi: 10.1111/j.1468-3083.2009.03479.x. Epub 2009 Nov 18.
Notalgia paresthesica is a disorder of unknown origin characterized by pruritus localized to the patients' back. Local pain, burning or paresthesias have also been described. No definite treatments have been found for this disorder and most of those reported to date are anecdotal. Topical capsaicin is the option most widely used among dermatologists. Transcutaneous electrical nerve stimulation, gabapentin, oxcarbazepine and botulinum toxin have recently shown promising effects. UVB has been used for decades to treat different pruritic skin diseases, but its benefits in the management of NP have not been stated to date.
To test the effects of UVB in notalgia paresthesica. Methods We used a course of UVB narrow band to treat five patients with notalgia paresthesica. The treatment was administered following a phototype protocol in a UV 7002 cabinet.
We provide the results of a course of UVB narrow-band phototherapy in five patients. Phototherapy contributed substantially to improve pruritus in all of them.
Given the benefits achieved, we stress the interest of UVB narrow-band as a safe and well tolerated alternative treatment for notalgia paresthetica.
感觉性背疼是一种病因不明的疾病，其特征为患者背部的瘙痒感。也有报道称局部有疼痛、烧灼感或感觉异常。对于这种疾病尚未发现明确的治疗方法，迄今为止报道的大多数方法都是经验性的。皮肤科医生最常使用的是局部辣椒素。最近，经皮神经电刺激、加巴喷丁、奥卡西平、肉毒毒素已显示出有前景的效果。紫外线 B（UVB）已用于治疗数十年不同的瘙痒性皮肤病，但迄今为止尚未说明其在治疗感觉性背疼中的益处。
测试 UVB 在感觉性背疼中的疗效。
我们使用窄谱 UVB 疗程治疗五例感觉性背疼患者。在 UV 7002 柜中根据光型方案进行治疗。
我们提供了五例窄谱 UVB 光疗疗程的结果。光疗对所有患者的瘙痒均有显著改善。
鉴于取得的疗效，我们强调窄谱 UVB 作为一种安全且耐受良好的感觉性背疼替代治疗方法的重要性。
