Notalgia Parestetika: Olgu Sunumu

Öz

Notalgia parestetika (NP) dorsal vertebral ve skapular alanda nöropatik karakterde ağrı, kaşıntı ve pigmentasyon artışı ile karakterize cilt lezyonu ile seyreden klinik bir durumdur. Etiyolojisi ve prevelansı tam olarak bilinmeyen bu klinik sıklıkla göz ardı edilebilmekte ve tanı konulmasının gecikilmesiyle süreç içerisinde kronikleşmektedir. Poliklinik pratiğimizde nadir görülen bu olgu üzerinden NP kliniği, etyopatogenezi ve tedavi seçenekleri tartışılmak istenmiştir.

Anahtar Kelimeler

• Kaşıntı,Kutanöz Nöropati,Notalgia Parestetika,Nöropatik Kaşıntı

Notalgia Paresthetica: Case Report

Öz

Notalgia Paresthetica (NP) is a clinical condition associated with skin lesion which charecterized by neuropathic pain, pruritus and and hyperpigmentation by dorsal vertebral and scapular area. Etiology and prevalence of clinic is unknow exactly so this clinic ignore mostly and due to delayed diagnosis became chronic diseases in time. This rare phenomenon was discussed with the pathogenesis and treatment options in our practise.

Anahtar Kelimeler

• Cutaneous Neuropathy,Neuropathic Itch,Notalgia Paresthetica,Pruritus

Kaynakça

1. 1. Savk E, Savk O, Bolukbasi O ve ark. Notalgia paresthetica: a study on pathogenesis. Int J Dermatol. 2000;39:754-9.
2. 2. Savk O, Savk E. Investigation of spinal pathology in notalgia paresthetica. J Am Acad Dermatol. 2005;52:1085-7.
3. 3. Alai NN, Skinner HB, Nabili ST, Jeffes E, Shahrokni S, Saemi AM. Notalgia paresthetic aassociated with cervical spinal stenosis and cervicothoracic disk disease at C4 through C7. Cutis. 2010;85(2):77-81.
4. 4. Ellis C. Notalgia paresthetica: the unreachable itch. Dermatol Pract Concept. 2012;3:2.
5. 5. Weisshaar E, Kucenic MJ, FleischerJr AB, Bernhard JD. Pruritus and dysesthesia. Dermatology. First edition. Spain, Mosby, 2003;105.
6. 6. Stumpf A, Stander S. Neuropath icitch: diagnosis and management. Dermatologic Therapy. 2013;26:104-9.
7. 7. Massey EW, Pleet AB. Notalgia paresthetica. JAMA. 1979;241:1464.
8. 8. Chabre O, Labat-Moleur F, Berthod F ve ark. Cutaneous lesion associated with multiple endocrine neoplasia type 2A (Sipple's syndrome): an early clinical marker. Presse Medicale. 1992;21:299-303.

9. 9. Comings DE, Comings SN. Hereditary localised pruritus. Arch Dermatol. 1965;92:236-7.
10. 10. Pleet AB, Massey EW. Notalgia paresthetica. Neurology. 1978;28(12):1310-12.
11. 11. Elmas ÖF, Kızılyel O, Metin MS, Atasoy M, Urlu SM, Tuncer K. An overlooked clinical entity: notalgia paresthetica. Agri. 2015;27(4):224-5.
12. 12. Lee CH, Dellon AL. Surgical management for groin pain of neural origin. J Am Col Surg. 2000;191:137–42.
13. 13. Savk E, Bolukbasi O, Akyol A, Karaman G. Open pilot study on oxcarbazepine for thetreatment of notalgia paresthetica. J Am Acad Dermatol. 2001;45:630-2.
14. 14. Savk E, Savk O, Sendur F. Transcutaneous electrical nevre stimulation offer spartial relief in notalgia paresthetica patients with a relevant spinal pathology. J Dermatol. 2007;34:315-9. 15. Oaklander AL. Neuropathic Itch. Semin Cutan Med Surg. 2011;30:87-92.
15. 16. Davidson S, Zhang X, Yoon CH, Khasabov SG, Simone DA, Giesler GJ Jr. Theitch producing agents histamineand cowhage activate separate populations of primate spino thalamic tractneurons. J Neurosci. 2007;27:10007-14.
16. 17. Massey EW, Pleet AB Neurology. Electromyographic evaluation of notalgia paresthetica 1981;31:642. 18. Tacconi P, Manca D, Tamburini G, Cannas A, Giagheddu M. Notalgia paresthetica following neuralgica myotrophy: a case report. Neurol Sci. 2004;25:27-9.
17. 19. Richardson BS, Way BV, Speece AJ 3rd. Osteopathic manipulative treatment in themanagement of notalgia paresthetica. J Am Osteopath Assoc. 2009;109:605-8.
18. 20. Ochi H, Tan LX, Tey HL. Notalgia paresthetica: Treatment with topical tacrolimus. J Eur Acad Dermatol Venereol. 2016;30(3):452-4.
19. 21. Pérez-Pérez L, Allegue F, Fabeiro JM, Caeiro JL, Zulaica A. Notalgia paresthesica successfully treated with narrow-band UVB: report of fivecases. J Eur Acad Dermatol Venereol. 2010;24:730-2.
20. 22. Weinfeld PK. Successful Treatment of Notalgia Paresthetica With Botulinum Toxin Type A. Arch Dermatol. 2007;143:980-2.
21. 23. Loosemore MP, Bordeaux JS, Bernhard JD. Gabapentin treatment for notalgia paresthetica, a common isolated peripheral sensoryneuropathy. J Eur Acad Dermatol Venereol. 2007;21:1440-1.
22. 24. Inaloz HS, Kirtak N, Erguven HG, Karakok M, Inaloz SS. Notalgia paresthetica with a significant increase in the number of intradermal nerves. J Dermatol. 2002;29(11):739-43.
23. 25. Nahabedian MY, Dellon AL. Meralgia paresthetica: Etiology, diagnosis and outcome of surgical management. Ann Plast Surg. 1995;35:590–4.
24. 26. Wang CK, Gowda A, Barad M, Mackey SC, Carroll IR. Serratus muscle stimulation effectively treat snotalgia paresthetica caused by long thoracic nevre dysfunction: a caseseries. J Brachial Plex Peripher Nerve Inj. 2009;22:4-17.
25. 27. Williams EH, Rosson GD, Elsamanoudi I, Dellon AL. Surgical decompression for notalgia paresthetica: a casereport. Microsurgery. 2010;30:70-2.