4.5 Review

Dermatological Conditions Inducing Acute and Chronic Pain

Journal

ACTA DERMATO-VENEREOLOGICA
Volume 102, Issue -, Pages -

Publisher

ACTA DERMATO-VENEREOLOGICA
DOI: 10.2340/actadv.v102.284

Keywords

pain; dermatoses; dermatology; neuropathic pain

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Pain is a common problem in dermatology, with various skin diseases and treatments potentially causing pain. Understanding the situations that cause pain can help provide suitable analgesic solutions.
Pain is a common condition in dermatology. The aim of this review is to analyse the characteristics of pain in dermatology. Some skin diseases are conventionally known to cause pain; e.g. ulcers, pyoderma gangre-nosum and herpes zoster. Common dermatoses, such as psoriasis or atopic dermatitis, can also cause significant pain. Some conditions are characterized by neuropathic pain and/or pruritus, without visible primary lesions: e.g. the neurocutaneous diseases, including small fibre neuropathies. Patients often fear pain in skin surgery; however, surgical procedures are rather well tolerated and any pain is mainly due to administration of local anaesthetic. Some therapies may also be uncomfortable for the patient, such as photodynamic therapy or aesthetic procedures. Thus, pain in dermatology is common, and its aetiology and characteristics are very varied. Knowledge of the different situations that cause pain will enable dermatologists to propose suitable analgesic solutions.

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