Brachioradial pruritus. (severe itching on forearms and neck, no rash).

Posted by Patrick Cotter @patrickcotter, Mar 19, 2012

Does anyone know of this. I think its rare but does exist. My neurologist does not know about this. I have compression between my c5 and c6 cervical disk and have had alot of sun damage to my skin.

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Has anyone tried a topical compounded cream that includes these ingredients: ketamine 10%, amitryptiline 5% and lidocaine 5%?

I am picking this script from the compounding pharmacy tomorrow. I saw it mentioned in an 11/8/2018 you tube video by Gil Yosipovitch, MD, who is known to be the "itch guru doc". I also noticed that he wrote a book a few years back with the Hopkins "itch doc", Shawn Kwatra, MD. I just had an appointment at the Hopkins Dermatology Center. They also want me to try the Gabapentin but that drug makes me concerned.

Seems it is all so much trial and error, because nobody really knows the etiology and there are so many different reasons why the itching happens to people.

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Wondering if those of us who get the itching intensified with sun exposure……have any type of thermoregularity sweat issue? I read that abnormal sweating patters and areas of anhidrosis are correlated to the area of the symptoms – I had a sympathectomy over 18 years ago and thus I don't sweat from my head down to the middle of my arms – which is where the itching is. However I don't have any scalp, face, or upper chest itching and all those don't sweat either…..

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One dermatologist said he thought light therapy would help with the itching, but then said it would affect my lupus, which is not active, have issues. He also said he thought living in a hot climate would help the itching, but lived in Tucson for several years and still had severe itching. I can't believe all those drs, could not figure out the itching. I now have some itching on scalp but shampoo with tea tree oil really helps. So thankful with this site and my diagnosis.

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@anniemaggie

One dermatologist said he thought light therapy would help with the itching, but then said it would affect my lupus, which is not active, have issues. He also said he thought living in a hot climate would help the itching, but lived in Tucson for several years and still had severe itching. I can't believe all those drs, could not figure out the itching. I now have some itching on scalp but shampoo with tea tree oil really helps. So thankful with this site and my diagnosis.

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Can you take Nortriptyline? My Dr put me on it at bedtime and it's like a miracle, it stopped after 2 doses. I used to have the itching for 2 or 3 mths. This yr it was six mths going on 7….

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@bobbiellen

I tried the MSM cream and it made my skin that itching immediately.

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?

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In reply to @njcarolnjn "?" + (show)
@njcarolnjn

It stung when I applied the topical msm roll-on.

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Never used that cream, all anti itch creams made itch worse. Dr said try the pain free cream which is private label from rite aid for aspercreme. That works, stings first cause of severe itching, believe me will take pain over itching any time and have, after surgeries take one pain pill after surgeries then stop, rest ibuprofin. I am allergic to all pain meds causes very light itching all over, drives me crazy. Dr said it's very common. I also use prescription for itch called triamcinolone cream. That works.

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@bobbiellen

Has anyone tried a topical compounded cream that includes these ingredients: ketamine 10%, amitryptiline 5% and lidocaine 5%?

I am picking this script from the compounding pharmacy tomorrow. I saw it mentioned in an 11/8/2018 you tube video by Gil Yosipovitch, MD, who is known to be the "itch guru doc". I also noticed that he wrote a book a few years back with the Hopkins "itch doc", Shawn Kwatra, MD. I just had an appointment at the Hopkins Dermatology Center. They also want me to try the Gabapentin but that drug makes me concerned.

Seems it is all so much trial and error, because nobody really knows the etiology and there are so many different reasons why the itching happens to people.

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Lidocaine is good, numbs area. I use aspercreme in the plastic bottle, tried the roll on and that caused terrible itch. These manufacturers change an ingredient and that causes problems.

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I have been telling everyone that I suffer from BRP. My GP suggested that I go to see a Dermatologist, I said “from what I have heard for years is that it is a waste of money” so she suggested that I go to the top Doctor in the field of Dermatology. Even though private it took over 3 months for an appointment. She is 38 yrs old and is a professor of dermatology. I am 68 and have been to many doctors over the years for different medical problems. I have never met anyone who took so much time with me to sort the problem and how much she cared about getting it right. Half way through my consultation she said “you do not have BRP “and after examiining my entire body and did little tests she diagnosed my itching problem as NEURODERMATITIS AND
DERMATOGRAPHISM.
“To Keep It Under Control “

I have to take ‘Amitryptline’ 10mg at bed time and Two antihistamine tablets ‘Telfast’ 180 mg one in the morning and one at 7pm and I must shower using luck warm water with ‘Aqueous’ cream as a soap substitute and use Silcocks base or Diprobase to moisturize within 2 minutes of towel drying my arms and moisturise several times a day. On the affected areas that have not cleared up on arms and back, use Dermovate until clear (you will be told to use it sparingly) Prof. Said put lots on. I have to see Professor C. Ryan in 3 months time. I believe she will change my life and help me to control this problem. THERE IS NO CURE.

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@noeley

I have been telling everyone that I suffer from BRP. My GP suggested that I go to see a Dermatologist, I said “from what I have heard for years is that it is a waste of money” so she suggested that I go to the top Doctor in the field of Dermatology. Even though private it took over 3 months for an appointment. She is 38 yrs old and is a professor of dermatology. I am 68 and have been to many doctors over the years for different medical problems. I have never met anyone who took so much time with me to sort the problem and how much she cared about getting it right. Half way through my consultation she said “you do not have BRP “and after examiining my entire body and did little tests she diagnosed my itching problem as NEURODERMATITIS AND
DERMATOGRAPHISM.
“To Keep It Under Control “

I have to take ‘Amitryptline’ 10mg at bed time and Two antihistamine tablets ‘Telfast’ 180 mg one in the morning and one at 7pm and I must shower using luck warm water with ‘Aqueous’ cream as a soap substitute and use Silcocks base or Diprobase to moisturize within 2 minutes of towel drying my arms and moisturise several times a day. On the affected areas that have not cleared up on arms and back, use Dermovate until clear (you will be told to use it sparingly) Prof. Said put lots on. I have to see Professor C. Ryan in 3 months time. I believe she will change my life and help me to control this problem. THERE IS NO CURE.

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Thus it sounds like your type of itch is NOT neurogenic………meaning coming from the underlying sensory nerves. I am learning that one possible way to distinguish a neurogenic itch from these other dermatological itches is that after the area is scratched…..15-30 seconds later, there is a burning sensation……..

I am seeing a neurosurgeon from Hopkins next week due to what was seen on my cervical MRI. I am still not sure of this connection but possible there is nerve encroachment in my spine that is affecting the dorsal area of my upper arms.

Wondering if anyone else has a neurogenic itch that is accompanied with this stinging and burning after scratching?

BTW – I am finding some relief from the TKAL cream – specially compounded by the pharmacist – expensive and not covered by insurance. TKAL – us a topical lotion with ketamine, amitripytaline and lidocaine.

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You really must must see a good dermatologist, as my symptoms mirrored exactly the same as everyone else on this site who think they have BRP, maybe they do, I thought I had BRP for over 10 years and after 10 minutes with Professor Ryan (Dermatologist), she said, no, you do not have BRP. My success story is in my article. Noeley

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@cropsey26

what can i take to stop the non stop itching it never goes away i feel like i want to rip the skin off my arm i have tried evereything over the counter but it does nt work i can not take much longer of this what can u suggest for me todo

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Please read my article it really could help you as it is helping me. Look up Noeley written on 13th December.

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