Department of Physical Medicine and Rehabilitation, Famagusta State Hospital, Famagusta, TRNC.
Department of Dermatology and Venerology, Famagusta State Hospital, Famagusta, TRNC.
Agri. 2022 Apr;34(2):109-116. doi: 10.14744/agri.2022.28159.
Notalgia paresthetica (NP) is a neuropathic condition that manifests as a chronic itch on the back. The aim of this retrospective study was to examine the characteristics of patients diagnosed with NP.
A total of 25 female patients, aged 26-64 years (mean+-10.67 years; median 47.17 years), were studied to determine the spinal or peripheral origin of NP.
On radiological examination, discopathy was observed in 24% of the patients, arthrosis in 32%, and degeneration in 56%. There was no significant relationship found between dermatological symptoms and magnetic resonance imaging posi-tivity (p=0.188). The patients' treatment programs were based on either physical therapy (44%), local injection (28%), exercise therapy (16%), or physical therapy and kinesiotherapy (12%). Subjective measures for pain were validated with an average visual analog scale (VAS), and the 'Douleur Neuropathique 4' (DN4) questionnaire was used to screen for neuropathic pain. The VAS score of the patients before treatment was 7, and after treatment was 2. The mean DN4 score was 7 before treatment and 2 after treatment.
NP is a rare syndrome of unknown etiology. We aim in this study to analyse NP clinical properties and treatment.
感觉异常性背疼（NP）是一种神经病理性疾病，表现为背部慢性瘙痒。本回顾性研究旨在检查诊断为 NP 的患者的特征。
共研究了 25 名年龄在 26-64 岁（平均年龄+-10.67 岁；中位数 47.17 岁）的女性患者，以确定 NP 的脊柱或外周起源。
在放射学检查中，24%的患者观察到椎间盘病，32%的患者观察到关节炎，56%的患者观察到退行性变。皮肤病症状与磁共振成像阳性之间没有发现显著关系（p=0.188）。患者的治疗方案基于物理治疗（44%）、局部注射（28%）、运动疗法（16%）或物理治疗和运动疗法（12%）。疼痛的主观测量采用平均视觉模拟评分（VAS）进行验证，并使用“神经病理性疼痛 4 项”（DN4）问卷进行筛查。治疗前患者的 VAS 评分为 7，治疗后为 2。治疗前的平均 DN4 评分为 7，治疗后为 2。
NP 是一种病因不明的罕见综合征。我们在这项研究中旨在分析 NP 的临床特征和治疗。
