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 chronic neuropathic dysesthesia characterised by pruritus and/or changed sensation in areas of skin over the medial aspect of the shoulder blade on either side of the back. There is often a hyperpigmented patch over the affected area.
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