Rippled pigmentation over the scapula due to longstanding notalgia - biopsy often shows dermal depositis of amyloid (NP-patient3)
Keywords: Back, Clinical image, Female, Large unilateral hyperpigmented patch, Lichen simplex, Localised itch, Localised neuropathic dysesthesia, Nonspecific itch, Pruritus, Scapula, Secondary hyperpigmentation, Skin of colour, Upper back
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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