We report on a female patient with brachioradial pruritus, in whom the cause could be verified by purposeful diagnostics (e.g., MRI). The clinical symptoms with localized itching result from circumscribed nerve root c...We report on a female patient with brachioradial pruritus, in whom the cause could be verified by purposeful diagnostics (e.g., MRI). The clinical symptoms with localized itching result from circumscribed nerve root compression and hyperexcitation of the nerve fibers. Under treatment with gabapentin, an anticonvulsant with a very good analgesic and good antipruritic effect, the itch ceased and the skin changes healed. This case shows that this special form of neuropathic itch requires targeted therapy, which apart from symptomatic treatment should primarily focus on remedying the cause, if feasible.展开更多
莫旺综合征(MoS)是一种男性多见的罕见的自身免疫相关性疾病[1]。1890年,法国内科医生奥古斯汀·玛丽·莫文(Augustin Marie Morvan)首次描述了这种疾病[2]。MoS的特征是由于电压门控钾通道(voltage-gated potassium channel,VG...莫旺综合征(MoS)是一种男性多见的罕见的自身免疫相关性疾病[1]。1890年,法国内科医生奥古斯汀·玛丽·莫文(Augustin Marie Morvan)首次描述了这种疾病[2]。MoS的特征是由于电压门控钾通道(voltage-gated potassium channel,VGKC)抗体导致的中枢、自主和周围神经高兴奋性。我们在此报道1例在山东省诸城市人民医院神经内科住院以前胸、腹部瘙痒,四肢肌肉颤搐起病的患者,经激素冲击治疗后该症状逐渐恢复。通过本例病例报道及文献复习,希望能为该病早期诊断及治疗提供参考。展开更多
Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory r...Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory results as reported in thefollowing.Clinical DataAll the 50 cases in this series were outpatientsfrom the Outpatient Department of展开更多
文摘We report on a female patient with brachioradial pruritus, in whom the cause could be verified by purposeful diagnostics (e.g., MRI). The clinical symptoms with localized itching result from circumscribed nerve root compression and hyperexcitation of the nerve fibers. Under treatment with gabapentin, an anticonvulsant with a very good analgesic and good antipruritic effect, the itch ceased and the skin changes healed. This case shows that this special form of neuropathic itch requires targeted therapy, which apart from symptomatic treatment should primarily focus on remedying the cause, if feasible.
文摘莫旺综合征(MoS)是一种男性多见的罕见的自身免疫相关性疾病[1]。1890年,法国内科医生奥古斯汀·玛丽·莫文(Augustin Marie Morvan)首次描述了这种疾病[2]。MoS的特征是由于电压门控钾通道(voltage-gated potassium channel,VGKC)抗体导致的中枢、自主和周围神经高兴奋性。我们在此报道1例在山东省诸城市人民医院神经内科住院以前胸、腹部瘙痒,四肢肌肉颤搐起病的患者,经激素冲击治疗后该症状逐渐恢复。通过本例病例报道及文献复习,希望能为该病早期诊断及治疗提供参考。
文摘Intractable cutaneous pruritus is a commonlyencountered symptom in clinical practice.Theauthors have treated 25 cases of intractable cutaneouspruritus mainly by auricular acupuncture in recentyears,with satisfactory results as reported in thefollowing.Clinical DataAll the 50 cases in this series were outpatientsfrom the Outpatient Department of
