Brachioradial pruritis

Brachioradial Pruritus (BRP) is a neurological disorder that results in intense itching, typically in the arms, shoulders, and neck. The condition is named after the brachioradialis muscle, which is located in the forearm, and the term "pruritus" which is a medical term for itching.

Etiology

The exact cause of BRP is unknown, but it is believed to be related to a neuropathy of the small C-fibers in the skin. Some researchers suggest that it may be caused by damage to the cervical spine, as many patients with BRP also have cervical spine abnormalities. Other potential causes include exposure to sunlight, as the condition is more common in regions with high levels of sunlight and during the summer months.

Symptoms

The primary symptom of BRP is intense itching, usually on the arms, shoulders, and neck. The itching is often described as being deep within the skin and may be accompanied by a burning sensation. Scratching does not relieve the itch and may even intensify it. Other symptoms may include changes in skin color, texture, or temperature.

Diagnosis

Diagnosis of BRP is primarily based on the patient's symptoms and medical history. There are no specific tests for BRP, but doctors may perform a physical examination and order imaging tests to rule out other conditions. In some cases, a skin biopsy may be performed to rule out other skin conditions.

Treatment

Treatment for BRP primarily involves managing the symptoms. This may include the use of topical creams or ointments, oral medications, and physical therapy. In some cases, treatment of the underlying cervical spine abnormalities may help to alleviate the symptoms.

Prognosis

The prognosis for BRP varies depending on the severity of the symptoms and the underlying cause. In some cases, the condition may resolve on its own, while in others, it may persist for years.

See Also

• Pruritus
• Neuropathy
• Cervical spine