The Korean Journal of Pain

  • 제25권4호
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  • Pages.278-280
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  • 2012
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Efficacy of Stellate Ganglion Block in Cholinergic Urticaria with Acquired Generalized Hypohidrosis

  • Shin, Jee-Hyun (Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine) ;
  • Kim, Do-Wan (Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine) ;
  • Yang, Jong-Yeun (Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine) ;
  • Lee, Won-Il (Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine)
  • 투고 : 2012.08.24
  • 심사 : 2012.09.03
  • 발행 : 2012.10.01
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초록

Cholinergic urticaria with acquired generalized hypohidrosis, and its pathophysiology is not well known. Autoimmunity to sweat glands or to acetylcholine receptors on sweat glands has been mentioned as one of the possible etiologies. Systemic steroid therapy, antihistamines, anticholinergics, and avoidance of the stimulatory situations are recommended for treatment. We experienced a case of cholinergic urticaria with acquired generalized hypohidrosis in a patient who had no other associated disease, and the symptoms eased after repeated bilateral stellate ganglion block. Stellate ganglion block normalized the elevated sympathetic tone and may relieve symptoms in patients with this condition.

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참고문헌

  1. Nakamizo S, Egawa G, Miyachi Y, Kabashima K. Cholinergic urticaria: pathogenesis-based categorization and its treatment options. J Eur Acad Dermatol Venereol 2012; 26: 114-116. https://doi.org/10.1111/j.1468-3083.2011.04017.x
  2. Nakamizo S, Miyachi Y, Kabashima K. A case of cholinergic urticaria associated with acquired generalized hypohidrosis and abnormal neurological findings: association with incomplete Ross syndrome? Br J Dermatol 2010; 162: 903-905.
  3. Czarnetzki BM. Ketotifen in cholinergic urticaria. J Allergy Clin Immunol 1990; 86: 138-139.
  4. Illig L. On the pathogenesis of cholinergic urticaria. I. Clinical observations and histological studies. Arch Klin Exp Dermatol 1967; 229: 231-247. https://doi.org/10.1007/BF00502986
  5. Magerl M, Borzova E, Gimenez-Arnau A, Grattan CE, Lawlor F, Mathelier-Fusade P, et al. The definition and diagnostic testing of physical and cholinergic urticarias--EAACI/ GA2LEN/EDF/UNEV consensus panel recommendations. Allergy 2009; 64: 1715-1721. https://doi.org/10.1111/j.1398-9995.2009.02177.x
  6. Shelley WB, Shelley ED, Ho AK. Cholinergic urticaria: acetylcholine-receptor-dependent immediate-type hypersensitivity reaction to copper. Lancet 1983; 1: 843-846.
  7. Sawada Y, Nakamura M, Bito T, Fukamachi S, Kabashima R, Sugita K, et al. Cholinergic urticaria: studies on the muscarinic cholinergic receptor M3 in anhidrotic and hypohidrotic skin. J Invest Dermatol 2010; 130: 2683-2686. https://doi.org/10.1038/jid.2010.188
  8. Zuberbier T, Althaus C, Chantraine-Hess S, Czarnetzki BM. Prevalence of cholinergic urticaria in young adults. J Am Acad Dermatol 1994; 31: 978-981. https://doi.org/10.1016/S0190-9622(94)70267-5
  9. Soter NA, Wasserman SI, Austen KF, McFadden ER Jr. Release of mast-cell mediators and alterations in lung function in patients with cholinergic urticaria. N Engl J Med 1980; 302: 604-608. https://doi.org/10.1056/NEJM198003133021104
  10. Nakazato Y, Tamura N, Ohkuma A, Yoshimaru K, Shimazu K. Idiopathic pure sudomotor failure: anhidrosis due to deficits in cholinergic transmission. Neurology 2004; 63: 1476-1480. https://doi.org/10.1212/01.WNL.0000142036.54112.57
  11. Tanaka T, Ishii K, Suzuki H, Kameyoshi Y, Hide M. Cholinergic urticaria successfully treated by immunotherapy with partially purified sweat antigen. Arerugi 2007; 56: 54-57.
  12. McDonnell JG, Finnerty O, Laffey JG. Stellate ganglion blockade for analgesia following upper limb surgery. Anaesthesia 2011; 66: 611-614. https://doi.org/10.1111/j.1365-2044.2011.06626.x
  13. Rho RH, Brewer RP, Lamer TJ, Wilson PR. Complex regional pain syndrome. Mayo Clin Proc 2002; 77: 174-180. https://doi.org/10.1016/S0025-6196(11)62332-X
  14. Lin TS, Chou MC. Needlescopic thoracic sympathetic block by clipping for craniofacial hyperhidrosis: an analysis of 28 cases. Surg Endosc 2002; 16: 1055-1058. https://doi.org/10.1007/s00464-001-8231-6

피인용 문헌

  1. Korean Medicinal Approaches to Recent Study on Cholinergic Urticaria vol.28, pp.4, 2015, https://doi.org/10.6114/jkood.2015.28.4.029
  2. Effects of transection of cervical sympathetic trunk on cognitive function of traumatic brain injury rats vol.15, pp.None, 2019, https://doi.org/10.2147/ndt.s199450