Dermatological Conditions Inducing Acute and Chronic Pain

Overview

Journal Acta Derm Venereol

Specialty Dermatology

Date 2022 Apr 8

PMID 35393624

Authors

Mathilde Hayoun-Vigouroux

Laurent Misery

Affiliations

Soon will be listed here.

Abstract

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 gangrenosum 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.

Citing Articles

Psychological Aspects of Cutaneous Pain in Psoriasis.

Kotewicz M, Krajewski P, Jaworek A, Szepietowski J J Clin Med. 2024; 13(16).

PMID: 39201033 PMC: 11355655. DOI: 10.3390/jcm13164890.

Neuropathic Pain Masquerading as Dermatologic Symptoms: A Case of Misleading Cutaneous Presentation.

Khadka M, Reid D, McClure E, Krenitsky A, Kowalewski C Cureus. 2024; 16(7):e64140.

PMID: 39119425 PMC: 11307487. DOI: 10.7759/cureus.64140.

Clinical Characteristics of Cutaneous Pain in Psoriasis.

Kotewicz M, Krajewski P, Jaworek A, Szepietowski J J Clin Med. 2024; 13(12).

PMID: 38930137 PMC: 11204389. DOI: 10.3390/jcm13123610.

References

Visconti M, Haidari W, Feldman S . Transcutaneous electrical nerve stimulation (TENS): a review of applications in dermatology. J Dermatolog Treat. 2019; 31(8):846-849. DOI: 10.1080/09546634.2019.1657227. View

Meaume S, Teot L, Lazareth I, Martini J, Bohbot S . The importance of pain reduction through dressing selection in routine wound management: the MAPP study. J Wound Care. 2004; 13(10):409-13. DOI: 10.12968/jowc.2004.13.10.27268. View

Zagarella S . Nerve entrapment syndromes in dermatology: Review and practical approach to treatment. Australas J Dermatol. 2018; 59(4):286-290. DOI: 10.1111/ajd.12822. View

Higgins S, Feinstein S, Hawkins M, Cockburn M, Wysong A . Virtual Reality to Improve the Experience of the Mohs Patient-A Prospective Interventional Study. Dermatol Surg. 2019; 45(8):1009-1018. PMC: 7493461. DOI: 10.1097/DSS.0000000000001854. View

Schrader N, Yuen W, Jonkman M . Pain Quality Assessment Scale for Epidermolysis Bullosa. Acta Derm Venereol. 2017; 98(3):346-349. DOI: 10.2340/00015555-2827. View

Finlay A . Quality of life assessments in dermatology. Semin Cutan Med Surg. 1998; 17(4):291-6. DOI: 10.1016/s1085-5629(98)80026-6. View

Baelen E, Dalmas S, Ducloux B, Scherpereel P . [Cryoanesthesia by freon spray for venepuncture in children]. Ann Fr Anesth Reanim. 1994; 13(1):6-9. DOI: 10.1016/s0750-7658(94)80180-0. View

Al-Qarqaz F, Al-Aboosi M, Al-shiyab D, Al Dabbagh Z . Using cold air for reducing needle-injection pain. Int J Dermatol. 2012; 51(7):848-52. DOI: 10.1111/j.1365-4632.2011.05383.x. View

Misery L, Belloni Fortina A, El Hachem M, Chernyshov P, von Kobyletzki L, Heratizadeh A . A position paper on the management of itch and pain in atopic dermatitis from the International Society of Atopic Dermatitis (ISAD)/Oriented Patient-Education Network in Dermatology (OPENED) task force. J Eur Acad Dermatol Venereol. 2020; 35(4):787-796. DOI: 10.1111/jdv.16916. View

10.

Gamboa J, Cameron M, Fathi R, Alkousakis T . A review of non-pharmacologic approaches to enhance the patient experience in dermatologic surgery. Dermatol Online J. 2020; 26(3). View

11.

Chen A, Landy D, Kumetz E, Smith G, Weiss E, Saleeby E . Prediction of postoperative pain after Mohs micrographic surgery with 2 validated pain anxiety scales. Dermatol Surg. 2014; 41(1):40-7. DOI: 10.1097/DSS.0000000000000224. View

12.

Lopez J, Warner N, Arpey C, Baum C, Brewer J, Otley C . Opioid prescribing for acute postoperative pain after cutaneous surgery. J Am Acad Dermatol. 2018; 80(3):743-748. DOI: 10.1016/j.jaad.2018.09.032. View

13.

Shumway N, Cole E, Fernandez K . Neurocutaneous disease: Neurocutaneous dysesthesias. J Am Acad Dermatol. 2016; 74(2):215-28. DOI: 10.1016/j.jaad.2015.04.059. View

14.

Gonzalez-Consuegra R, Verdu J . Quality of life in people with venous leg ulcers: an integrative review. J Adv Nurs. 2011; 67(5):926-44. DOI: 10.1111/j.1365-2648.2010.05568.x. View

15.

Wiffen P, Derry S, Bell R, Rice A, Tolle T, Phillips T . Gabapentin for chronic neuropathic pain in adults. Cochrane Database Syst Rev. 2017; 6:CD007938. PMC: 6452908. DOI: 10.1002/14651858.CD007938.pub4. View

16.

Talour K, Schollhammer M, Garlantezec R, Quinio B, Misery L . [Predictive factors for pain in technical dermatological procedures]. Ann Dermatol Venereol. 2013; 140(1):5-14. DOI: 10.1016/j.annder.2012.05.012. View

17.

Lefaucheur J, Valeyrie-Allanore L, Ng Wing Tin S, Abgrall G, Colin A, Hajj C . Chronic pain: a long-term sequela of epidermal necrolysis (Stevens-Johnson syndrome/toxic epidermal necrolysis) - prevalence, clinical characteristics and risk factors. J Eur Acad Dermatol Venereol. 2020; 35(1):188-194. DOI: 10.1111/jdv.16891. View

18.

Valeyrie-Allanore L, Ingen-Housz-Oro S, Colin A, Thuillot D, Sigal M, Binhas M . [Pain management in Stevens-Johnson syndrome, toxic epidermal necrolysis and other blistering diseases]. Ann Dermatol Venereol. 2011; 138(10):694-7. DOI: 10.1016/j.annder.2011.05.029. View

19.

Thyssen J, Halling-Sonderby A, Wu J, Egeberg A . Pain severity and use of analgesic medication in adults with atopic dermatitis: a cross-sectional study. Br J Dermatol. 2019; 182(6):1430-1436. DOI: 10.1111/bjd.18557. View

20.

Leren L, Johansen E, Eide H, Falk R, Juvet L, Ljosa T . Pain in persons with chronic venous leg ulcers: A systematic review and meta-analysis. Int Wound J. 2020; 17(2):466-484. PMC: 7948710. DOI: 10.1111/iwj.13296. View