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.
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.
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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