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1例采用脉冲射频治疗有效缓解的疱疹后瘙痒病例

A Case of Postherpetic Itch Effectively Treated With Pulsed Radiofrequency Therapy.

作者信息

Nakamura Hiroki, Uekita Ikuo, Hashizume Keiji

机构信息

Pain Center, Kouseikai Takai Hospital, Tenri, JPN.

出版信息

Cureus. 2024 Dec 9;16(12):e75425. doi: 10.7759/cureus.75425. eCollection 2024 Dec.


DOI:10.7759/cureus.75425
PMID:39791045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11711239/
Abstract

We report a case of a 65-year-old female with postherpetic itch (PHI) over the left chest, who experienced significant relief after pulsed radiofrequency (PRF) therapy. While her initial pain and rash had improved with nerve blocks and medications, she had developed severe itching. PRF therapy significantly reduced the itching, which nearly disappeared. This report suggests that neuropathic pain treatments, like PRF, may also be effective for PHI, a condition that is not fully understood and has limited treatment options but can severely impact the quality of life.

摘要

我们报告了一例65岁女性患者,其左胸部患有带状疱疹后瘙痒症(PHI),在接受脉冲射频(PRF)治疗后症状得到显著缓解。虽然她最初的疼痛和皮疹通过神经阻滞和药物治疗有所改善,但仍出现了严重的瘙痒。PRF治疗显著减轻了瘙痒,几乎使其消失。本报告表明,像PRF这样的神经性疼痛治疗方法可能对PHI也有效,PHI是一种尚未完全了解且治疗选择有限但会严重影响生活质量的疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a36/11711239/2fcb7fa3449b/cureus-0016-00000075425-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a36/11711239/1e1cd9b7f78f/cureus-0016-00000075425-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a36/11711239/2fcb7fa3449b/cureus-0016-00000075425-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a36/11711239/1e1cd9b7f78f/cureus-0016-00000075425-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a36/11711239/2fcb7fa3449b/cureus-0016-00000075425-i02.jpg

相似文献

[1]
A Case of Postherpetic Itch Effectively Treated With Pulsed Radiofrequency Therapy.

Cureus. 2024-12-9

[2]
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[3]
Pulsed Radiofrequency to the Dorsal Root Ganglion in Acute Herpes Zoster and Postherpetic Neuralgia.

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[4]
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[5]
Effect of Repeated High-voltage Long-duration Pulsed Radiofrequency on Herpetic Neuralgia.

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[6]
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[7]
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JA Clin Rep. 2020-3-23

[8]
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Pain Res Manag. 2018-12-2

[9]
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J Med Case Rep. 2025-4-5

[10]
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本文引用的文献

[1]
The relative frequency of pruritus in postherpetic neuralgia patients presenting to the pain clinic and associative factors.

Medicine (Baltimore). 2022-9-2

[2]
The mechanism of action of pulsed radiofrequency in reducing pain: a narrative review.

J Yeungnam Med Sci. 2022-7

[3]
The Clinical Efficacy of High-Voltage Long-Duration Pulsed Radiofrequency Treatment in Pudendal Neuralgia: A Retrospective Study.

Neuromodulation. 2022-12

[4]
Pruritus is common in patients with chronic liver disease and is improved by nalfurafine hydrochloride.

Sci Rep. 2021-2-4

[5]
Clinical Study of Spinal Cord Stimulation and Pulsed Radiofrequency for Management of Herpes Zoster-Related Pain Persisting Beyond Acute Phase in Elderly Patients.

Pain Physician. 2020-6

[6]
Postherpetic Pruritus: A Potential Complication of Herpes Zoster Virus Infection.

Cureus. 2019-9-16

[7]
Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time.

Pain Res Manag. 2018-12-2

[8]
Peripheral nerve block with a high concentration of tetracaine dissolved in bupivacaine for intractable post-herpetic itch: a case report.

JA Clin Rep. 2016

[9]
Pulsed Radiofrequency to the Dorsal Root Ganglion in Acute Herpes Zoster and Postherpetic Neuralgia.

Pain Physician. 2017-3

[10]
Effects of applying nerve blocks to prevent postherpetic neuralgia in patients with acute herpes zoster: a systematic review and meta-analysis.

Korean J Pain. 2017-1

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