Premium
Multimodal Approach for the Management of Hunan Hand Syndrome: A Case Report
Author(s) -
Saxena Ashok Kumar,
Mandhyan Rajani
Publication year - 2013
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2012.00567.x
Subject(s) - medicine , postherpetic neuralgia , stellate ganglion , capsaicin , gabapentin , complex regional pain syndrome , local anaesthetic , anesthesia , dermatology , surgery , neuropathic pain , alternative medicine , pathology , receptor
Hunan hand syndrome, a form of painful contact dermatitis, is a rare case finding. It is usually seen in people with continuous and prolonged exposure to chili peppers. The main ingredient in chili peppers is capsaicin that leads to the clinical condition, Hunan hand syndrome. This is paradoxical to the use of capsaicin as local application for relief of pain in various clinical situations, such as diabetic neuropathy and postherpetic neuralgia. We report a case of Hunan hand syndrome, managed successfully by using a multimodal approach comprised of a continuous stellate ganglion block, gabapentin, local ice water, and fluocinonide application.