Notalgia Paresthetica (“Itchy Back”) | Causes, Risk Factors, Symptoms, Diagnosis, Treatment
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Esta paciente apresenta várias escoriações nas costas de tanto coçar. Em casos como esse, a causa da coceira pode estar relacionada aos nervos da região, em uma condição chamada notalgia parestésica. Além da coceira, algumas pessoas sentem ardor, formigamento ou uma sensação difícil de descrever, geralmente em uma área específica das costas. As marcas na pele podem surgir pelo atrito repetido ao tentar aliviar o incômodo. Na minha avaliação, observo a pele, ouço a história do paciente e investig
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Had a patient come in this week with something called notalgia paresthetica. Fancy name, but basically it's burning, itching, or numbness between your shoulder blade and your spine. Sometimes you'll even see darker patches of skin show up. Most people get told it's a skin thing. It's really not. It's a nerve in your upper back getting pinched where it runs through a little triangle of muscles. Kind of like a carpal tunnel, but for your shoulder blade. And there's actually a second nerve in the s
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A coceira nas costas era tão intensa que a paciente já apresentava feridas provocadas pelo ato repetido de coçar. O quadro era compatível com notalgia parestésica, uma alteração relacionada aos nervos da região das costas, capaz de causar coceira persistente, ardência, formigamento e uma mancha escurecida no local. Muitas vezes, o problema é tratado apenas como uma “alergia”, sem que a origem neuropática seja considerada. Durante minha avaliação, não me limitei à queixa inicial. Ao examinar cuid
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