Yoon Syn-Hae, Cho Woojong, Mun Juhan, Jeong Wonyeong, Kim Young Do, Choi Seong-Soo
Department of Anesthesiology and Pain Medicine, National Police Hospital, Seoul, Korea.
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Anesth Pain Med (Seoul). 2021 Oct;16(4):377-381. doi: 10.17085/apm.21009. Epub 2021 Oct 5.
In some patients with neuropathic pain (NP), such as complex regional pain syndrome (CRPS), itching rather than pain is the main symptom making diagnosis and treatment difficult.
We report a case of a 23-year-old male with a history of hypoxic brain damage who presented with pruritus of the left foot and ankle. His left foot was fractured, and he underwent surgery 6 months previously. After the operation and cast application, he developed uncontrolled pruritus, swelling, sweating, and flushing of the left foot skin with limping. On examination, he showed well-known features of CRPS without pain. He was diagnosed with an atypical CRPS with neuropathic itching (NI). With treatment modalities used for NP and CRPS, his pruritus subsided gradually, and the his ankle mobility improved.
Unexplained itching can be the main symptom in some CRPS patients. Treatment according to NP can improve symptoms of NI in CRPS patients.
在一些神经性疼痛（NP）患者中，如复杂性区域疼痛综合征（CRPS），瘙痒而非疼痛是主要症状，这使得诊断和治疗变得困难。
我们报告一例23岁男性，有缺氧性脑损伤病史，表现为左足和踝关节瘙痒。他的左脚骨折，6个月前接受了手术。术后应用石膏固定后，他出现了无法控制的瘙痒、肿胀、出汗以及左脚皮肤潮红，并伴有跛行。检查时，他表现出典型的CRPS特征但无疼痛。他被诊断为伴有神经性瘙痒（NI）的非典型CRPS。采用针对NP和CRPS的治疗方法后，他的瘙痒逐渐减轻，踝关节活动度也有所改善。
在一些CRPS患者中，无法解释的瘙痒可能是主要症状。按照NP进行治疗可改善CRPS患者的NI症状。
Zotero 插件