J Brachial Plex Peripher Nerve Inj 2009; 04(01): e3-e6
DOI: 10.1186/1749-7221-4-21
Letter to the Editor
Wallengren; licensee BioMed Central Ltd.

Self-healing photo-neuropathy and cervical spinal arthrosis in four sisters with brachioradial pruritus[*]

Joanna Wallengren
1  Department of Dermatology, University Hospital, Lund, Sweden
› Author Affiliations

Subject Editor:
Further Information

Publication History

14 September 2009

17 November 2009

Publication Date:
18 September 2014 (online)

Abstract

The cause of brachioradial pruritus (a localized itching on the arms or shoulders) is controversial. The role of sun and cervical spine disease has been discussed. This is a report on four sisters suffering from brachioradial pruritus recurring every summer. The sisters spent much time outdoors and exposed themselves extensively to the sun. They also had occupations requiring heavy lifting. Cervical radiographs indicated arthrosis. The density of sensory nerve fibers in the skin biopsies from the itchy skin of the arms, visualized by antibodies against a pan-neuronal marker, protein gene product 9.5, was reduced compared with biopsies from the same skin region during the symptom-free period in the winter. This data exemplifies that brachioradial pruritus is a self healing photoneuropathy occurring in middle aged adults predisposed by cervical arthrosis.

*This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.