4.2 Article

Second-degree burn induced by high-concentration topical capsaicin with mobility sequelae: A case report

Journal

PAIN PRACTICE
Volume 23, Issue 2, Pages 216-219

Publisher

WILEY
DOI: 10.1111/papr.13175

Keywords

adverse drug reaction; capsaicin; neuropathic pain; pharmacovigilance; sequelae

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This article reports the first case of second degree burn and subsequent mobility sequelae after the application of high-concentration topical capsaicin patch. The article raises concerns about the benefit/risk ratio of high concentration topical capsaicin.
High-concentration topical capsaicin is used as a second-line treatment for neuropathic pain. Transient, mild burning sensation and erythema are expected adverse drug reactions. Here, we report the first case of second degree burn after the application of a high-concentration topical capsaicin patch with secondary mobility sequelae. Nine months after the application, neuropathic pain still remained and the patient described mobility difficulties in daily activities, preventing her from returning to work. This report aims to raise the question of the benefit/risk ratio of high concentration topical capsaicin.

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