Abstract:
BACKGROUND:Keloid scars can itch and hurt, but little is known about the characteristics of these symptoms in keloids. Because itch and pain are carried by small nerve fibers, abnormal function of these fibers could be an explanation for such phenomena. OBJECTIVE:We sought to assess the characteristics of itch and pain in keloid scars, and to assess the function of small nerve fibers in keloids. METHODS:We studied the location and intensity of itch and pain in keloids that had been present for at least 1 year. We further studied the function of small nerve fibers by assessing allodynia and alloknesis (which are pain and itch, respectively) from innocuous stimuli that do not normally provoke pain and itch, and we used quantitative thermosensory testing (in keloid lesions, perikeloidal skin, and contralateral normal skin as a control). Results In all, 28 patients (13 men and 15 women) with a mean age of 34 years were enrolled and completed the study. Of the patients, 86% experienced itch and 46% experienced keloid-related pain. Of those who experienced itch, 92% felt the itch at the edge of their keloids. Of the patients with pain, 77% felt pain at the center of the keloid. Mechanical allodynia was noted in 43% of the patients, and only 14% experienced alloknesis. Abnormal thermosensory thresholds to warmth, cold, and heat pain were noted in the keloids. Visual analogue scale of itch correlated significantly to warmth ( r = 0.65), heat pain ( r = 0.4), and cold pain ( r = -0.41). CONCLUSION:Itch and pain are common presentations in keloids and are associated with abnormalities in small nerve fiber function, suggesting a small nerve fiber neuropathy.
journal_name
J Am Acad Dermatoljournal_title
Journal of the American Academy of Dermatologyauthors
Lee SS,Yosipovitch G,Chan YH,Goh CLdoi
10.1016/j.jaad.2004.07.054subject
Has Abstractpub_date
2004-12-01 00:00:00pages
1002-6issue
6eissn
0190-9622issn
1097-6787pii
S0190962204021280journal_volume
51pub_type
杂志文章abstract::The psychosocial impact of infection with human immunodeficiency virus (HIV) can be viewed from three perspectives: (1) the issues focused by acquired immunodeficiency syndrome (AIDS), (2) the persons affected, and (3) the emotions encountered. Among the many issues faced by AIDS patients, their families, and their ca...
journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章
doi:10.1016/0190-9622(90)70177-j
更新日期:1990-06-01 00:00:00
abstract:BACKGROUND:For treatment of localized scleroderma numerous treatments, including ones with potentially hazardous side effects, are currently used with only limited success. OBJECTIVE:We attempted to determine the efficacy of low-dose UVA1 irradiation in patients with severe localized scleroderma. METHODS:Patients wer...
journal_title:Journal of the American Academy of Dermatology
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更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Cyclosporine is effective in psoriasis, but long-term continuous therapy may be limited by renal impairment and hypertension. Intermittent short courses of treatment should minimize side effects and improve the risk-benefit ratio. OBJECTIVE:Our purpose was to assess the long-term efficacy and safety of inte...
journal_title:Journal of the American Academy of Dermatology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1067/mjd.2001.112400
更新日期:2001-04-01 00:00:00
abstract::Hyperkeratosis of the nipple and areola is a rare condition. We report two cases of hyperkeratosis of the nipple and areola occurring in men with no underlying endocrinopathy or synthetic estrogenic drug therapy. Both patients demonstrated prompt resolution of the hyperkeratosis of the nipples with a keratolytic gel. ...
journal_title:Journal of the American Academy of Dermatology
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doi:10.1016/s0190-9622(85)70203-4
更新日期:1985-10-01 00:00:00
abstract::Hutchinson's sign, periungual extension of brown-black pigmentation from longitudinal melanonychia onto the proximal and lateral nailfolds, is an important indicator of subungual melanoma. However, experience has demonstrated that Hutchinson's sign, although valuable, is not an infallible predictor of melanoma. Periun...
journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章,评审
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更新日期:1996-01-01 00:00:00
abstract::It has previously been reported that interferon alfa injection sites may develop pyoderma gangrenosum, interface dermatitis, vasculitis, or, more commonly, ulcers characterized by intravascular thrombi and a mixed inflammatory cell infiltrate. We describe 2 patients in whom granulomatous and suppurative dermatitis dev...
journal_title:Journal of the American Academy of Dermatology
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doi:10.1067/mjd.2002.119087
更新日期:2002-04-01 00:00:00
abstract::We report a case of a 10-month-old male infant with GM1 type 1 gangliosidosis who also had hyperpigmented macules and patches. Light and electron microscopic findings correlated with previously published reports on findings in skin biopsy specimens of patients with lipid storage disorders. The hyperpigmented macules a...
journal_title:Journal of the American Academy of Dermatology
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更新日期:1989-05-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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更新日期:1980-05-01 00:00:00
abstract::Tissue resistance to insulin is a major feature underlying the development of acanthosis nigricans in many patients. We report two unusual cases of acanthosis nigricans with contrasting forms of insulin resistance and propose an algorithm for the evaluation of patients with acanthosis nigricans. Further, we present a ...
journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章,评审
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更新日期:1989-09-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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更新日期:2008-03-01 00:00:00
abstract::Unilateral dermatomal superficial telangiectasia (UDST) may be congenital or acquired. Acquired UDST may occur coincident with physiologic states of estrogen increase, including puberty and pregnancy in women and adrenarche in men. Acquired UDST may also occur in estrogenized pathologic states such as chronic hepatic ...
journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章
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更新日期:1983-04-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章
doi:10.1016/s0190-9622(88)70010-9
更新日期:1988-01-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.jaad.2018.04.038
更新日期:2018-08-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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更新日期:2013-08-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of the American Academy of Dermatology
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journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章
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更新日期:1979-10-01 00:00:00
abstract::A new disorder of the hair follicle is described that leads to increased fragility of the shaft. Light microscopic studies of hair follicles revealed disturbances of keratinization in the shafts that are very likely responsible for the breakage. The most consistent change seen by transmission electron microscopy was i...
journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章
doi:10.1016/s0190-9622(86)70142-4
更新日期:1986-07-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
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更新日期:2009-05-01 00:00:00
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journal_title:Journal of the American Academy of Dermatology
pub_type: 杂志文章,评审
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更新日期:2018-03-01 00:00:00