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Front Psychol. 2017 Jul 25;8:1267. doi: 10.3389/fpsyg.2017.01267. eCollection 2017.

Brain Processing of Contagious Itch in Patients with Atopic Dermatitis.

Frontiers in psychology

Christina Schut, Hideki Mochizuki, Shoshana K Grossman, Andrew C Lin, Christopher J Conklin, Feroze B Mohamed, Uwe Gieler, Joerg Kupfer, Gil Yosipovitch

Affiliations

  1. Institute of Medical Psychology, Justus-Liebig-UniversityGiessen, Germany.
  2. Department of Dermatology, Lewis Katz School of Medicine at Temple University, PhiladelphiaPA, United States.
  3. Department of Dermatology and Cutaneous Surgery and Miami Itch Center, Miller School of Medicine, University of Miami, MiamiFL, United States.
  4. Department of Radiology, Jefferson Integrated Magnetic Resonance Imaging Center, Thomas Jefferson University, PhiladelphiaPA, United States.
  5. Department of Dermatology, University Hospital of Giessen and MarburgGiessen, Germany.

PMID: 28790959 PMCID: PMC5524890 DOI: 10.3389/fpsyg.2017.01267

Abstract

Several studies show that itch and scratching cannot only be induced by pruritogens like histamine or cowhage, but also by the presentation of certain (audio-) visual stimuli like pictures on crawling insects or videos showing other people scratching. This phenomenon is coined "Contagious itch" (CI). Due to the fact that CI is more profound in patients with the chronic itchy skin disease atopic dermatitis (AD), we believe that it is highly relevant to study brain processing of CI in this group. Knowledge on brain areas involved in CI in AD-patients can provide us with useful hints regarding non-invasive treatments that AD-patients could profit from when they are confronted with itch-inducing situations in daily life. Therefore, this study investigated the brain processing of CI in AD-patients. 11 AD-patients underwent fMRI scans during the presentation of an itch inducing experimental video (EV) and a non-itch inducing control video (CV). Perfusion based brain activity was measured using arterial spin labeling functional MRI. As expected, the EV compared to the CV led to an increase in itch and scratching (

Keywords: atopic dermatitis; contagious itch; functional MRI; orbitofrontal cortex; striatum; supplementary motor area

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