Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time

Postherpetic itch (PHI), or herpes zoster itch, is an intractable and poorly understood disease. We targeted 94 herpes zoster patients to investigate their pain and itch intensities at three separate stages of the condition (acute, subacute, and chronic). We used painDETECT questionnaire (PDQ) score...

Full description

Saved in:
Bibliographic Details
Main Authors: Rie Ishikawa, Masako Iseki, Rie Koga, Eiichi Inada
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2018/9305126
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832562324139933696
author Rie Ishikawa
Masako Iseki
Rie Koga
Eiichi Inada
author_facet Rie Ishikawa
Masako Iseki
Rie Koga
Eiichi Inada
author_sort Rie Ishikawa
collection DOAJ
description Postherpetic itch (PHI), or herpes zoster itch, is an intractable and poorly understood disease. We targeted 94 herpes zoster patients to investigate their pain and itch intensities at three separate stages of the condition (acute, subacute, and chronic). We used painDETECT questionnaire (PDQ) scores to investigate the correlation between PHI and neuropathic pain. Seventy-six patients were able to complete follow-up surveys. The prevalence of PHI was 47/76 (62%), 28/76 (37%), and 34/76 (45%) at the acute, subacute, and chronic stages, respectively. PHI manifestation times and patterns varied. We investigated the relationship of PHI with neuropathic pain using the visual analog scale (VAS), which is a measure of pain intensity, and the PDQ, which is a questionnaire used to evaluate the elements of neuropathic pain. The VAS and PDQ scores did not differ significantly between PHI-positive and PHI-negative patients. A large neuropathic component was not found for herpes zoster itch, suggesting that neuropathic pain treatments may not able to adequately control the itch. Accordingly, we suggest that a more PHI-focused therapy is required to address this condition.
format Article
id doaj-art-759f978a92e648fb96623abdc870217b
institution Kabale University
issn 1203-6765
1918-1523
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Pain Research and Management
spelling doaj-art-759f978a92e648fb96623abdc870217b2025-02-03T01:22:54ZengWileyPain Research and Management1203-67651918-15232018-01-01201810.1155/2018/93051269305126Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over TimeRie Ishikawa0Masako Iseki1Rie Koga2Eiichi Inada3Department of Anesthesiology and Pain Medicine, Juntendo University Faculty of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku 113-8431, JapanDepartment of Anesthesiology and Pain Medicine, Juntendo University Faculty of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku 113-8431, JapanDepartment of Pain Medicine, Sata Hospital, 4-28 Watanabedori 2-chome, Chuo-ku 810-0004, JapanDepartment of Anesthesiology and Pain Medicine, Juntendo University Faculty of Medicine, 1-3 Hongo 3-chome, Bunkyo-ku 113-8431, JapanPostherpetic itch (PHI), or herpes zoster itch, is an intractable and poorly understood disease. We targeted 94 herpes zoster patients to investigate their pain and itch intensities at three separate stages of the condition (acute, subacute, and chronic). We used painDETECT questionnaire (PDQ) scores to investigate the correlation between PHI and neuropathic pain. Seventy-six patients were able to complete follow-up surveys. The prevalence of PHI was 47/76 (62%), 28/76 (37%), and 34/76 (45%) at the acute, subacute, and chronic stages, respectively. PHI manifestation times and patterns varied. We investigated the relationship of PHI with neuropathic pain using the visual analog scale (VAS), which is a measure of pain intensity, and the PDQ, which is a questionnaire used to evaluate the elements of neuropathic pain. The VAS and PDQ scores did not differ significantly between PHI-positive and PHI-negative patients. A large neuropathic component was not found for herpes zoster itch, suggesting that neuropathic pain treatments may not able to adequately control the itch. Accordingly, we suggest that a more PHI-focused therapy is required to address this condition.http://dx.doi.org/10.1155/2018/9305126
spellingShingle Rie Ishikawa
Masako Iseki
Rie Koga
Eiichi Inada
Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time
Pain Research and Management
title Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time
title_full Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time
title_fullStr Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time
title_full_unstemmed Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time
title_short Investigation of the Correlation between Postherpetic Itch and Neuropathic Pain over Time
title_sort investigation of the correlation between postherpetic itch and neuropathic pain over time
url http://dx.doi.org/10.1155/2018/9305126
work_keys_str_mv AT rieishikawa investigationofthecorrelationbetweenpostherpeticitchandneuropathicpainovertime
AT masakoiseki investigationofthecorrelationbetweenpostherpeticitchandneuropathicpainovertime
AT riekoga investigationofthecorrelationbetweenpostherpeticitchandneuropathicpainovertime
AT eiichiinada investigationofthecorrelationbetweenpostherpeticitchandneuropathicpainovertime