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Brachioradial pruritus (sometimes abbreviated BRP) is an intense itching sensation of the arm usually between the wrist and elbow of either or both arms. [1]: 36 The itch can be so intense that affected individuals will scratch their own skin to a bleeding condition.
Notalgia paresthetica is a common localized itch, affecting mainly the area between the shoulder blades (especially the T2–T6 dermatomes) but occasionally with a more widespread distribution, involving the shoulders, back, and upper chest.
Psychogenic pruritus typically appears as itching on the face and on the extensor surfaces of the body. This includes the back side of the arms, the abdomen, the side of the legs and the upper back and shoulders. These areas are more frequent because they are within hand's reach. [1]
Although the exact cause of PN is unknown, PN is associated with other dermatologic conditions such as untreated or severe atopic dermatitis and systemic causes of pruritus including liver disease and end stage kidney disease. [2] The goal of treatment in PN is to decrease itching. PN is also known as Hyde prurigo nodularis, or Picker's nodules ...
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When antihistamines do work, loratadine seems to be the most effective for mild cases and doxepin most effective for more severe cases. Naltrexone, hydrocortisone, or propranolol may relieve itching for some people. [17] [7] Sertraline or other Selective serotonin reuptake inhibitors (SSRIs) is also a line of treatment. Gabapentin is very helpful.
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