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Scratching due to notalgia paraesthetica causing hyperpigmentation over the left scapula
Keywords: Back, Excoriation marks, Localised itch, Localised neuropathic dysesthesia, Mid-upper back, Nonspecific itch, Pruritus, Regional image, Secondary hyperpigmentation, Unilateral hyperpigmented patch
Notalgia paraesthetica is a form of cutaneous dysaesthesia where itch and/or changed sensation arise in the areas of skin on the medial aspect of the shoulder blade on either side of the back. Notalgia means pain in the back, and paraesthetica refers to burning pain, tingling or itch.
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