Department of Dermatology, Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina 27157, USA.
J Am Acad Dermatol. 2011 May;64(5):955-9. doi: 10.1016/j.jaad.2010.02.023. Epub 2011 Feb 3.
Central neuropathic itch can be a lifelong debilitating condition and treatment challenge. We report a patient with a traumatic brain injury with severe intractable pruritus who failed extensive pharmacologic and nonpharmacologic treatment but responded to a holistic approach using healing touch. We discuss the complexity of this type of neuropathic itch and present a holistic approach as an adjunct to therapy in reducing itch intensity. This case presentation along with the literature discussed suggests a therapeutic strategy for the management of complicated central neuropathic itch.
中枢神经性瘙痒可能是一种终身致残的疾病,也是治疗的挑战。我们报告了一例创伤性脑损伤伴严重难治性瘙痒的患者,该患者广泛的药物和非药物治疗均失败,但采用整体治疗方法(包括愈合触摸)后得到缓解。我们讨论了这种类型的神经性瘙痒的复杂性,并提出了一种整体治疗方法作为辅助治疗,以减轻瘙痒强度。本病例报告及讨论的文献表明,对于复杂的中枢神经性瘙痒的治疗策略。