Purpose of Review

Pain management in dermatologic conditions can be complicated by the primary disease burden and associated decreased quality of life, disability, and psychosocial issues. This review focuses on pain management strategies in some of the more painful dermatologic conditions.

Recent Findings

Pain management in painful dermatologic conditions such as pyoderma gangrenosum, postherpetic neuralgia, lower limb ulcers, and hidradenitis suppurativa revolves around treatment of the underlying disease process. Topical agents such as topical steroids and systemic immunosuppressants with over-the-counter analgesics usually suffice in mild to moderate pain. Severe pain may need neuropathic agents and referral to interventional pain physicians for consideration of advanced techniques such as epidural steroid injections and sympathetic nerve blocks.

Summary

Part of the treatment process is for dermatologists to establish patient expectations and to treat pain within their scope of practice. More research is needed towards pain control in painful dermatologic conditions with elucidation of treatment algorithms unique to each condition.

中文翻译：

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皮肤病的疼痛控制

审查目的

皮肤病的疼痛管理可能因原发疾病负担和相关的生活质量下降、残疾和社会心理问题而变得复杂。本综述侧重于一些更痛苦的皮肤病的疼痛管理策略。

最近的发现

痛性皮肤病（如坏疽性脓皮病、带状疱疹后遗神经痛、下肢溃疡和化脓性汗腺炎）的疼痛管理围绕潜在疾病过程的治疗展开。局部药物如局部类固醇和全身免疫抑制剂与非处方镇痛药通常足以缓解轻度至中度疼痛。严重的疼痛可能需要神经性药物，并转介给介入疼痛医生，以考虑采用先进技术，如硬膜外类固醇注射和交感神经阻滞。

概括

治疗过程的一部分是让皮肤科医生建立患者的期望并在他们的实践范围内治疗疼痛。需要对疼痛性皮肤病的疼痛控制进行更多的研究，并阐明每种情况特有的治疗算法。