TY - JOUR
T1 - Brain mechanism of itch in atopic dermatitis and its possible alteration through non-invasive treatments
AU - Mochizuki, Hideki
AU - Schut, Christina
AU - Nattkemper, Leigh A.
AU - Yosipovitch, Gil
N1 - Publisher Copyright:
© 2017 Japanese Society of Allergology
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Atopic dermatitis (AD) is a common chronic skin disease that is characterized by intense pruritus and has high impairment of quality of life. AD is often described as “the itch that rashes, rather than the rash that itches”. Several studies suggest that mechanisms of central modulation play an important role in the development and maintenance of chronic itch. Therefore, treating the neurosensory aspects of itch is an important part in the management of chronic itch. However, little attention has been paid to the role of the central nervous system in the processing of itch in AD. Targeting itch-related anatomical structures in the brain with non-invasive treatments such as psychological interventions and transcranial Direct Current Stimulation (tDCS) could have an antipruritic effect in AD. Therefore, in this review article, we discuss the current progress in brain imaging research of itch, as well as the efficacy of non-invasive interventions for itch relief in this patient group.
AB - Atopic dermatitis (AD) is a common chronic skin disease that is characterized by intense pruritus and has high impairment of quality of life. AD is often described as “the itch that rashes, rather than the rash that itches”. Several studies suggest that mechanisms of central modulation play an important role in the development and maintenance of chronic itch. Therefore, treating the neurosensory aspects of itch is an important part in the management of chronic itch. However, little attention has been paid to the role of the central nervous system in the processing of itch in AD. Targeting itch-related anatomical structures in the brain with non-invasive treatments such as psychological interventions and transcranial Direct Current Stimulation (tDCS) could have an antipruritic effect in AD. Therefore, in this review article, we discuss the current progress in brain imaging research of itch, as well as the efficacy of non-invasive interventions for itch relief in this patient group.
KW - Brain imaging
KW - Non-invasive brain stimulation
KW - Pruritus
KW - Psychological intervention
KW - Scratching
UR - http://www.scopus.com/inward/record.url?scp=84995699222&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84995699222&partnerID=8YFLogxK
U2 - 10.1016/j.alit.2016.08.013
DO - 10.1016/j.alit.2016.08.013
M3 - Review article
C2 - 27688121
AN - SCOPUS:84995699222
VL - 66
SP - 14
EP - 21
JO - Allergology International
JF - Allergology International
SN - 1323-8930
IS - 1
ER -