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疑似脊柱源性瘙痒症:一项病例研究

Presumptive spondylogenic pruritus: a case study.

作者信息

Faye Leonard J, Budgell Brian S

机构信息

Private practice, Los Angeles, CA.

Canadian Memorial Chiropractic College, Toronto, ON.

出版信息

J Can Chiropr Assoc. 2020 Aug;64(2):139-143.

PMID:33012813
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7500236/
Abstract

OBJECTIVE

To describe a case of a patient with chronic pruritus of the upper back and arms who underwent complete resolution of his complaint following a short course of chiropractic care.

CASE PRESENTATION

A 36-year-old male suffering with chronic, severe pruritus affecting the upper back and both arms, presented for chiropractic treatment after pharmacological treatment and dietary restrictions failed to resolve his complaint. Physical examination revealed restrictions of thoracic and cervical intervertebral motion. However, radiological examination did not identify any substantial pathology of the spine. Following a short course of chiropractic treatment, which included spinal manipulation and home exercises, his complaint of pruritus resolved completely.

SUMMARY

In this case, a severe and chronic complaint of pruritus which was refractory to other forms of care resolved quickly after the institution of chiropractic care. It is therefore hypothesized that the patient's pruritus was etiologically linked to biomechanical problems of the spine.

摘要

目的

描述一例上背部和手臂慢性瘙痒患者,在接受短期整脊治疗后症状完全缓解的病例。

病例介绍

一名36岁男性,患有影响上背部和双臂的慢性重度瘙痒,在药物治疗和饮食限制未能缓解其症状后前来接受整脊治疗。体格检查发现胸椎和颈椎椎间活动受限。然而,放射学检查未发现脊柱有任何实质性病变。经过包括脊柱推拿和家庭锻炼在内的短期整脊治疗后,他的瘙痒症状完全消失。

总结

在本病例中,一种对其他治疗方式难治的严重慢性瘙痒症,在开始整脊治疗后迅速缓解。因此推测患者的瘙痒在病因上与脊柱的生物力学问题有关。

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Chiropractic case reports: a review and bibliometric analysis.整脊病例报告:回顾与文献计量分析。
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本文引用的文献

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Burden of atopic dermatitis in Asia.亚洲特应性皮炎负担。
J Dermatol. 2019 Oct;46(10):825-834. doi: 10.1111/1346-8138.15048. Epub 2019 Aug 22.
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Notalgia Paresthetica Relieved by Cervical Traction.颈部牵引缓解感觉异常性背痛
J Am Board Fam Med. 2017 Nov-Dec;30(6):835-837. doi: 10.3122/jabfm.2017.06.170156.
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Dorsal scapular nerve neuropathy: a narrative review of the literature.肩胛背神经神经病:文献综述
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Urogenital pruritus in association with lumbar spinal stenosis.与腰椎管狭窄相关的泌尿生殖系统瘙痒症。
Am J Phys Med Rehabil. 2015 Feb;94(2):e19. doi: 10.1097/PHM.0000000000000132.
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Adverse events after manual therapy among patients seeking care for neck and/or back pain: a randomized controlled trial.寻求颈部和/或背部疼痛治疗的患者接受手法治疗后的不良事件:一项随机对照试验。
BMC Musculoskelet Disord. 2014 Mar 12;15:77. doi: 10.1186/1471-2474-15-77.
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Episodic itch in a case of spinal glioma.脊髓神经胶质瘤病例中的阵发性瘙痒。
BMC Neurol. 2013 Sep 23;13:124. doi: 10.1186/1471-2377-13-124.