Pain management in hidradenitis suppurativa and a proposed treatment algorithm
Autor: | Anne Marie McKenzie-Brown, Lauren A.V. Orenstein, Kevin T. Savage, Michelle A. Lowes, Vinita Singh, Zarine S. Patel, Christine A. Yannuzzi |
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Rok vydání: | 2020 |
Předmět: |
Complementary Therapies
medicine.drug_class medicine.medical_treatment Tricyclic antidepressant Dermatology Antidepressive Agents Tricyclic Article law.invention Nociceptive Pain 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans Pain Management Hidradenitis suppurativa Serotonin–norepinephrine reuptake inhibitor Analgesics Neurotransmitter Agents Cognitive Behavioral Therapy business.industry Depression Anti-Inflammatory Agents Non-Steroidal Chronic pain medicine.disease Hidradenitis Suppurativa Cognitive behavioral therapy 030220 oncology & carcinogenesis Practice Guidelines as Topic Neuralgia Low-dose naltrexone Cyclo-oxygenase Chronic Pain business Algorithm Algorithms |
Zdroj: | J Am Acad Dermatol |
ISSN: | 1097-6787 |
Popis: | Pain contributes substantially to reduced quality of life in individuals living with hidradenitis suppurativa (HS). Although improved understanding of HS pathogenesis and treatment has resulted in improved evidence-based HS management guidelines, comprehensive pain management guidelines have yet to be developed. Little HS-specific data exist to guide pharmacologic analgesia, however, recognizing HS pain as either acute or chronic and predominantly nociceptive (aching and gnawing pain due to tissue damage) versus neuropathic (burning type pain due to somatosensory nervous system dysfunction) provides a conceptual framework for applying outside pain management practices to HS management. This manuscript incorporates the best available evidence from the HS and pain literature to propose an HS pain algorithm that integrates psychological, pharmacological, and complementary and alternative treatment modalities. |
Databáze: | OpenAIRE |
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