Notalgia Paresthetica: Cervical Spine Disease and Neuropathic Pruritus

Notalgia paresthetica (NP) is a dermatologic condition with predominant, primarily left unilateral pruritus and hyperpigmentation that typically occurs on the upper and middle back. The etiology remains largely elusive. A 57-year-old female with a history of neck pain presented with refractory NP since six months. Through diagnostic x-ray, cervical degenerative changes were discovered at the C5-C6 level, and she was prescribed a course of cervical traction. The cervical theory of NP is presented and is supported with x-ray findings in this case.