Pruritus pp 219-224 | Cite as

Notalgia Paresthetica

  • Ekin ŞavkEmail author


Notalgia paresthetica is a chronic pruritic condition typically localized to scapular area of the back which may be accompanied with other paresthetic sensations. It is considered to be a localized neuropathy and the dermatological findings consisting of a hyperpigmented patch with indefinite borders and mild lichenification in some cases are secondary to chronic scratching. Notalgia paresthetica is mainly a disease of the middle aged and a majority of cases are women. Among various hypotheses, including one with a hereditary component, nerve entrapment due to various musculoskeletal factors appears to be the the most likely candidate responsible for pathogenesis. Current list of therapeutic alternatives which offer transitory relief includes capsaicin, gabapentin and various modes of physical therapy. Phototherapy and acupuncture might be other options to explore. A collaborative multispecialty effort with orthopaedic surgeons and neurologists should be encouraged to better evaluate and devise a treatment plan encompassing nondermatological treatment modalities.


Notalgia paresthetica Neuropathic pruritus Neuropathy Back Hyperpigmentation Amyloidosis Spine 


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© Springer-Verlag London 2016

Authors and Affiliations

  1. 1.Department of DermatologyAdnan Menderes University HospitalAydinTurkey

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