Successful treatment of notalgia paresthetica with lidocaine 5% medicated plaster: a case report.

Pain Manag

Rehabilitation Medical Doctor. Clínica RedSalud Providencia, Santiago, Chile.

Published: November 2022

AI Article Synopsis

  • * A 75-year-old woman with NP tried multiple treatments with little success before being treated with lidocaine 5% medicated plaster.
  • * After 11 weeks of using the plaster, she experienced significant relief from itching and an overall improvement in her quality of life.

Article Abstract

Notalgia paresthetica (NP) is a sensory neuropathy characterized by chronic, localized pruritus in a circumscribed area on the upper back. Pruritus, frequently resistant to treatment, may be accompanied by pain, paresthesia, allodynia and alloknesis. There is a paucity of data in the NP literature about the use of lidocaine 5% medicated plaster. This case involves a 75-year-old woman with NP and a history of many unsuccessful local or systemic treatments. The patient was treated with lidocaine 5% medicated plaster, while other therapies were progressively retired. After 11 weeks of therapy, a significant reduction in the intensity of itching was achieved and the itching area was reduced. The patient also reported an associated improvement in her quality-of-life throughout therapy. In conclusion, lidocaine 5% medicated plaster was successful in relieving itching and other symptoms in this case of NP.

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Source
http://dx.doi.org/10.2217/pmt-2022-0003DOI Listing

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