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Case report
B213 Brachioradialis pruritus as the main symptom of cervical compressive radiculopathy
  1. A Sanchez Cohen1,
  2. JB Schuitemaker Requena2,
  3. VM Vargas Raidi3,
  4. LA López Pantaleone4,
  5. AT Imbiscuso Esqueda5,
  6. JA García Tomás6,
  7. MdCBuil Peralta4,
  8. E Marin Esteve4 and
  9. LA Castro4
  1. 1Universitat de Vic – Universitat Central de Catalunya, Vic, Spain
  2. 2Centre Mèdic Creu Groga Calella/Hospital Clínic Maresme Grup Creu Groga, Calella de Mar/Mataró, Spain
  3. 3Hospital de Mataró, Consorci Sanitari del Maresme, Mataró, Spain
  4. 4Hospital Universitari General de Catalunya, Sant Cugat del Vallès, Spain
  5. 5Hospital de Santa Caterina Institut d’Assitència Sanitària, Salt, Spain
  6. 6Clínica MC MUTUAL Copèrnic, Barcelona, Spain

Abstract

Background and Aims A 45-year-old man with no known medical history presents with cervical and shoulder pain in addition to itching on his left palm, which progressed to involve the entire C7 territory (Panel A). The patient underwent a head and neck MRI which showed evidence of left foraminal C7 disc herniation (Panel B) leading to the diagnosis of brachioradial neurogenic pruritus

Abstract B213 Figure 1
Abstract B213 Figure 1

Methods A 45-year-old man with no past medical history presented with cervical and shoulder pain in addition to itching on his left palm. On the 5th day, pruritus spread to the C7 territory. Subsequently, an area of paresthesia; erythema developed after a hot shower (Panel A), underwent head and neck MRI which showed evidence of left foraminal C7 disc herniation (Panel B). The diagnosis of brachioradial pruritus was made. The patient was treated with two steroid epidural injections, and improved his pruritus.

Abstract B213 Figure 2
Abstract B213 Figure 2

Results This is a rare entity, with a variable incidence between 8% and 19% of all types of chronic pruritus, is identified as neuropathic when the nerve fiber or glia is damaged and is responsible for the symptoms. Nerve fiber damage causes overlapping symptoms of itch and pain, or pruralgia, which encompasses a wide range of altered perceptions including burning, dampness, electric sensations, tingling, and various variants of pain. Brachioradial pruritus is used to describe upper limb involvement, with compressive radiculopathy of the cervical canal due to stenosis being the most common cause.

Conclusions This entity must be considered in patients with radicular pain.

https://doi.org/10.1136/rapm-2022-ESRA.288

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