Notalgia Parestetika: Olgu Sunumu

Yıl 2012, Cilt: 17 Sayı: 1, 43 - 45, 01.02.2012

Volkan Subaşı Ülkü Aşkın

Öz

Notalgia parestetika skapular bölgede deride yanıcı tarzda ağrı, parestezi, hiperestezi ve hassasiyete eşlik eden kaşıntılı hiperpigmente deri lezyonu ile karakterize unilateral sensorial bir nöropatidir. 50 yaşında kadın olgu, skapular bölgede kaşıntılı hiperpigmente deri lezyonu nedeniyle dermatoloji polikliniğine başvurdu. Eşlik eden sırt ağrısı ve yanıcı tarzda ağrı nedeniyle notalgia parestetika ön tanısı ile fiziksel tıp ve rehabilitasyon polikliniğine konsülte edildi. Bu olgumuzu kısa bir literatür tartışması eşliğinde sunmayı amaçladık.

Anahtar Kelimeler

Sırt ağrısı, Parestezi, Notalgia parestetika

Notalgia Paresthetica: A Case Report

Öz

Notalgia paresthetica is a unilateral sensorial neuropathy which is characterized by burning pain, paresthesia, hyperestesia and sensitivity with hyperpigmented pruritic skin lesion in the scapular region. A 50-year-old women presented to the dermatology clinic with a pruritic hyperpigmented skin lesion in the scapular region and because of her back pain and burning pain in her skin she was consultated to physical medicine and rehabilitation clinic. We aimed to present and discuss this case with a short review of the literature.

Anahtar Kelimeler

-

Kaynakça

• 1. Weinfeld PK. Successful Treatment of Notalgia Paresthetica With Botulinum Toxin Type A. Arch Dermatol 2007; 143: 980-982.
• 2. Wang CK, Gowda A, Barad M, Mackey SC, Carroll IR. Serratus muscle stimulation effectively treats notalgia paresthetica caused by long thoracic nerve dysfunction: a case series. J Brachial Plex Peripher Nerve Inj 2009; 22: 4-17.
• 3. Richardson BS, Way BV, Speece AJ 3rd. Osteopathic manipulative treatment in the management of notalgia paresthetica. J Am Osteopath Assoc 2009; 109: 605-608.
• 4. Erçin Z. Sırtta hiperpigmentasyonla başvuran hastalarda kutanöz amiloidoz ve atopi sıklığının araştırılması. Uzmanlık Tezi, İstanbul: Haydarpaşa Numune Eğitim ve Araştırma Hastanesi, Deri ve Zührevi Hastalıklar Kliniği, 2005.
• 5. Weisshaar E, Kucenic MJ, Fleischer Jr AB, Bernhard JD. Pruritus and dysesthesia. In: Bolognia JL(Editors), Jorizzo JL, Rapini RP et al. Dermatology. First edition. Spain, Mosby, 2003; 105.
• 6. Savk O, Savk E. Investigation of spinal pathology in notalgia paresthetica. J Am Acad Dermatol 2005; 52: 1085-1087.
• 7. Savk E, Savk O, Bolukbasi O and at al. Notalgia paresthetica: a study on pathogenesis. Int J Dermatol 2000; 39: 754-759.
• 8. Tacconi P, Manca D, Tamburini G, Cannas A, Giagheddu M. Notalgia paresthetica following neuralgic amyotrophy: a case report. Neurol Sci 2004; 25: 27-29.
• 9. Leibsohn E. Treatment of notalgia paresthetica with capsaicin. Cutis 1992; 49: 335-336.
• 10. Pérez-Pérez L, Allegue F, Fabeiro JM, Caeiro JL, Zulaica A. Notalgia paresthesica successfully treated with narrow-band UVB: report of five cases. J Eur Acad Dermatol Venereol 2010; 24: 730-732.
• 11. Loosemore MP, Bordeaux JS, Bernhard JD. Gabapentin treatment for notalgia paresthetica, a common isolated peripheral sensory neuropathy. J Eur Acad Dermatol Venereol 2007; 21: 1440-1441.
• 12. Savk E, Bolukbasi O, Akyol A, Karaman G. Open pilot study on oxcarbazepine for the treatment of notalgia paresthetica. J Am Acad Dermatol 2001; 45: 630-632.
• 13. Savk E, Savk O, Sendur F. Transcutaneous electrical nerve stimulation offers partial relief in notalgia paresthetica patients with a relevant spinal pathology. J Dermatol 2007; 34: 315- 319