Drs. Kavanagh and Mattei are from the US Department of Veterans Affairs, Veteran Health Administration, Bay Pines VA Healthcare System, Cape Coral, Florida. Ryan Lawrence is from the Palmer College of Chiropractic West Campus, San Jose, California. Colin Burnette is from the Nova Southeastern University College of Osteopathic Medicine, Fort Lauderdale, Florida.
Cutis. 2023 Aug;112(2):84-87. doi: 10.12788/cutis.0828.
Brachioradial pruritus (BRP) is a relatively uncommon neuropathic dysesthesia localized to the dorsolateral arms that causes unrelenting itching, burning, tingling, or stinging sensations. There is no identifiable cause of BRP to date, though it is thought to be secondary to either cervical spine pathology or exposure to UV radiation (UVR). Gold-standard treatment of BRP remains unknown. This article reviews previously trialed conservative management options, including chiropractic manipulation, acupuncture, physiotherapy, and photoprotection, as well as medical management options that have been utilized to treat BRP, such as medications, interventional pain management procedures, and surgery. We compiled an updated comprehensive list of possible treatment strategies to be utilized by future providers.
桡侧前臂瘙痒症(BRP)是一种相对罕见的神经感觉障碍,局限于手臂的背外侧,引起持续不断的瘙痒、烧灼感、刺痛或刺痛感。到目前为止,还没有确定 BRP 的原因,尽管它被认为是颈椎病理学或暴露于紫外线辐射(UVR)的结果。BRP 的黄金标准治疗方法仍然未知。本文综述了以前尝试过的保守治疗选择,包括整脊手法、针灸、物理疗法和光保护,以及用于治疗 BRP 的医学治疗选择,如药物、介入性疼痛管理程序和手术。我们编制了一份更新的综合治疗策略列表,以供未来的医疗提供者使用。