By Dr. Carolyn Ellis, Largo Medical Center, Largo, Florida
The 57 year-old woman pictured below has had episodic pruritus of the mid-back for six years. She denied axny apparent cause for the pruritus. At times there was an accompanying sensation of 'pins and needles'. She also complained of heightened sensitivity in the area, which she noticed when putting on clothes or rubbing her back against the bed. She located the affected area medial to the left scapula. She could not identify anything that improved or worsened the symptoms.
Notalgia Paresthetica (NP) is an ecxeeding common disorder. Dr. Carolyn Ellis has written a fine introduction to NP. See: Download NP edit
Typical Distribution of NP
Subtle Hyperpigmentation and Lichenification
Dr. Ellis' Teaching Points
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