Khadka Monica, Reid Devaun M, McClure Erin, Krenitsky Amanda, Kowalewski Catherine
Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, USA.
Dermatology, University of South Florida, Tampa, USA.
Cureus. 2024 Jul 9;16(7):e64140. doi: 10.7759/cureus.64140. eCollection 2024 Jul.
Neuropathic pain presenting as dermatologic symptoms can occur when damaged or dysfunctional nerves manifest with symptoms that resemble skin-related conditions. We present a case of a 62-year-old male who presented with burning pain and redness in the perineum and gluteal cleft. Initially, the patient was treated for dermatologic symptoms, resulting in the resolution of erythema. However, the pain persisted, prompting a neurologic workup. Despite the improvement of skin symptoms, the patient's pain persisted, prompting a neurological workup. Diagnostic imaging revealed significant degenerative changes in the lumbar spine, supporting a neuropathic etiology. This case highlights the importance of considering neurologic disorders in dermatologic practice, especially when cutaneous symptoms persist despite appropriate dermatological treatments.
当受损或功能失调的神经表现出类似皮肤相关病症的症状时，可能会出现表现为皮肤症状的神经性疼痛。我们报告一例62岁男性病例，该患者会阴部和臀沟出现灼痛和发红。最初，患者因皮肤症状接受治疗，红斑消退。然而，疼痛持续存在，促使进行神经学检查。尽管皮肤症状有所改善，但患者的疼痛仍持续存在，促使进行神经学检查。诊断性影像学检查显示腰椎有明显的退行性改变，支持神经性病因。该病例强调了在皮肤科实践中考虑神经系统疾病的重要性，尤其是在经过适当的皮肤科治疗后皮肤症状仍持续存在的情况下。
