Anais Brasileiros de Dermatologia (Jun 2015)

Brachioradial pruritus in a patient with cervical disc herniation and Parsonage-Turner syndrome

  • Sandrina Carvalho,
  • Madalena Sanches,
  • Rosário Alves,
  • Manuela Selores

DOI
https://doi.org/10.1590/abd1806-4841.20153059
Journal volume & issue
Vol. 90, no. 3
pp. 401 – 402

Abstract

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Abstract Brachioradial pruritus is a chronic sensory neuropathy of unknown etiology which affects the skin of the shoulders, arms and forearms on the insertion of the brachioradialis muscle. We describe the case of a 60-yearold woman recently diagnosed with multiple myeloma who refers paresis, severe pruritus and itching lesions on the right arm with 6 months of evolution. Investigation led to a diagnosis of Brachioradial pruritus consequent to the presence of cervical disc herniation and Parsonage-Turner syndrome. The patient started gabapentin 900mg/day with good control of itching. Corticosteroids and antihistamines are often ineffective in the treatment of BP. Gabapentin has been used with encouraging results. All patients with Brachioradial pruritus should be evaluated for cervical spine injuries.

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