Korean J Dermatol.
2000 Mar;38(3):410-412.
Localized Paroxysmal Pruritus in Multiple Sclerosis
- Affiliations
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- 1Department of Dermatology, Yonsei University College of Medicine,
Seoul, Korea.
Abstract
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Paroxysmal itching is a rare symptom in multiple sclerosis and it was first reported
in 1975 by Osterman and Westerberg. It has been suggested that paroxysmal itching may
be due to the activation of axons in CNS via abnormal synapses between demyelinated axons.
Carbamazepine, phenytoin, and ibuprofen are known to be effective in the treatment of
paroxysmal itching. We report a case of paroxysmal itching of 4 months' duration in a
41-year-old female with multiple sclerosis who suffered from severe paroxysmal itching
on the left side of her neck and chest. The itching did not respond to carbamazepine,
but it was partially controlled with ibuprofen.