Skin pain

essential information

pathogeny

The etiology is not clear, the onset may be related to skin allergy, common in patients with neurosis, can also be seen in some diseases of the central nervous system or peripheral nervous system, such as neurosyphilis, ataxia, rheumatism, dyspepsia, diabetes, habitual abortion, amenorrhea and other patients, some patients with virus infection, such as viral cold, can have skin pain on the scalp.

clinical manifestation

Skin pain is often limited, more common in the scalp, spine, palms and plantars or wrist, usually in the appearance of normal skin, there are punctate or banded area of pain. The degree of pain varies from mild discomfort to severe pain; the nature of pain can be burning, freezing, stabbing, jumping, rubbing, splitting, foreign body stimulation, impact or electric shock. The pain is paroxysmal, but there is no local skin damage.

inspect

Physical examination: no skin damage.

diagnosis

The diagnosis mainly depends on the history and clinical symptoms. Patients usually have a history of neurosis, neurosyphilis, ataxia, rheumatism, dyspepsia, diabetes, etc. they have pain without skin damage. The degree of pain is different, the nature of pain is diverse, and it is paroxysmal. After detailed physical examination, no skin damage is found, so they can be diagnosed as skin pain.

differential diagnosis

Herpes zoster should be differentiated from herpes zoster contusion type (incomplete type). Both of them show no skin lesions and only pain, so it is not easy to distinguish. When erythema or papules appear, herpes zoster should be diagnosed.

treatment

1. General treatment < br > reasonable work and rest, strengthen nutrition, psychological guidance, actively find the primary disease that may lead to skin pain, and take corresponding measures, such as neurosyphilis antiviral treatment, rheumatism anti rheumatism treatment, diabetes blood sugar control, etc.
2. Drug treatment < br > (1) nutrition of nerve: vitamin B1 and vitamin B12 can improve nerve nutrition and relieve symptoms.
(2) analgesia: the application of non steroidal anti-inflammatory drugs (NSAIDs) has certain curative effect in mild pain, such as aspirin, etc., and the adverse reactions such as gastrointestinal symptoms, liver and kidney damage should be closely monitored when using them; narcotic analgesics such as Rotundine and lidocaine can be given to patients with severe pain, which can relieve pain, and the dosage of drugs and adverse reactions of nerve or cardiovascular should be paid attention to.
(3) sedation: Patients with mental illness can be treated with tricyclic antidepressants; patients with anxiety can be treated with doxepin.
3. Other treatments < br > acupuncture and physiotherapy can also relieve symptoms; hot water bag and ice bag can also temporarily relieve pain.

prevention

Remove the factors that may cause the disease, keep the spirit happy, prevent excessive thinking, and treat the related diseases in time.

Chinese PinYin : Pi Tong