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CORRESPONDENCE COLUMN |
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| Year : 2006 | Volume
: 51
| Issue : 1 | Page : 68-69 |
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| Notalgia paresthetica |
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Ramesh Chandra Gharami
Department of Dermatology, B. S. Medical College, Bankura, West Bengal, India
Correspondence Address:
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5154.25215
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How to cite this article:
Gharami R. Notalgia paresthetica. Indian J Dermatol 2006;51:68-9 |
In 1934, notalgia paresthetica was first described and named.[1] It is characterised by episodic pain or itching at a small area of the skin, beyond easy reach, usually close to the medial border of the scapula.
A 20 year-old young women was presented at medicine out-door with complain of moderate to severe occasional pain at left scapula for one month duration. But as no definite cause was found, she was referred to skin out-door. On examination, she indicated the site of pain, at the junction of lower 1/3 and upper 2/3 of medial border of left scapula [Figure - 1]. But no other skin change was noticed as observed by others.[2] Psychological examination found no abnormality.
Though the pain was relieved spontaneously within 2-3 hour of occurrence, she was aksed to apply eutectic mixture of local anesthetic (EMLA) cream, 4 times daily for 2 weeks but failed to respond. Then, she was given capsaicin containing cream (0.25 mg/g) thrice daily and responded well as also reported by Wallengren and Klinker.[3]
| References | |  |
| 1. | Astwazaturow M. Uber parsthetishe Neuralgien und eine bzondere form derselben - Notalgias paresthetica. Nervenarzt 1934; 133:88-96.  |
| 2. | Springall Dr, Kranth SS, Kirkham N et al . Symptoms of notalgia paresthetica may be explained by increased dermal innervation. J Invest Dermatol 1991; 97:555-61 |
| 3. | Wallengren J, Klinker M. Successful treatment of notalgia paresthetica with topical capsaicin: vehical-controlled, double blind, cross-over study. J Am Acad Dermotol 1995;32:287-9. |
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