Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans

Chronic itch can severely affect quality of life. Patients report that their chronic itch can be exacerbated by exposure to warm conditions (“warmth hyperknesis”). The aim of this mechanistic study was to investigate the effect of mild heating of the skin in humans on various experimental models of...

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Main Authors: Daniele Riccio, Hjalte Holm Andersen, Lars Arendt-Nielsen
Format: Article
Language:English
Published: Medical Journals Sweden 2022-02-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access:https://medicaljournalssweden.se/actadv/article/view/173
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author Daniele Riccio
Hjalte Holm Andersen
Lars Arendt-Nielsen
author_facet Daniele Riccio
Hjalte Holm Andersen
Lars Arendt-Nielsen
author_sort Daniele Riccio
collection DOAJ
description Chronic itch can severely affect quality of life. Patients report that their chronic itch can be exacerbated by exposure to warm conditions (“warmth hyperknesis”). The aim of this mechanistic study was to investigate the effect of mild heating of the skin in humans on various experimental models of itch. A total of 18 healthy subjects were recruited to the study. Itch was provoked by histamine, serotonin, or cowhage in 3 different sessions. The provoked area was heated with an infrared lamp, and the skin temperature was either not altered, or was increased by 4°C or 7°C. Subsequent to induction of itch, the itch intensity was recorded for 10 min while the skin was heated continuously throughout the entire period of itch induction. Heating the skin resulted in a significant increase in itch intensity when provoked by histamine or serotonin. It is possible that thermoception and pruriception interact and selectively produce a higher itch intensity in histaminergic and serotoninergic itch.
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spelling doaj.art-af085d13022c4b118461bdbd558295642022-12-21T23:50:53ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572022-02-0110210.2340/actadv.v102.173Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in HumansDaniele Riccio0Hjalte Holm AndersenLars Arendt-Nielsen1Aalborg UniversityFaculty of Medicine, Aalborg University, Fredrik Bajers Vej, D3-212, DK-9220 Aalborg East, DenmarkChronic itch can severely affect quality of life. Patients report that their chronic itch can be exacerbated by exposure to warm conditions (“warmth hyperknesis”). The aim of this mechanistic study was to investigate the effect of mild heating of the skin in humans on various experimental models of itch. A total of 18 healthy subjects were recruited to the study. Itch was provoked by histamine, serotonin, or cowhage in 3 different sessions. The provoked area was heated with an infrared lamp, and the skin temperature was either not altered, or was increased by 4°C or 7°C. Subsequent to induction of itch, the itch intensity was recorded for 10 min while the skin was heated continuously throughout the entire period of itch induction. Heating the skin resulted in a significant increase in itch intensity when provoked by histamine or serotonin. It is possible that thermoception and pruriception interact and selectively produce a higher itch intensity in histaminergic and serotoninergic itch. https://medicaljournalssweden.se/actadv/article/view/173ItchWarmthHyperknesisHistamineSerotoninCowhage
spellingShingle Daniele Riccio
Hjalte Holm Andersen
Lars Arendt-Nielsen
Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans
Acta Dermato-Venereologica
Itch
Warmth
Hyperknesis
Histamine
Serotonin
Cowhage
title Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans
title_full Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans
title_fullStr Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans
title_full_unstemmed Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans
title_short Mild Skin Heating Evokes Warmth Hyperknesis Selectively for Histaminergic and Serotoninergic Itch in Humans
title_sort mild skin heating evokes warmth hyperknesis selectively for histaminergic and serotoninergic itch in humans
topic Itch
Warmth
Hyperknesis
Histamine
Serotonin
Cowhage
url https://medicaljournalssweden.se/actadv/article/view/173
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AT hjalteholmandersen mildskinheatingevokeswarmthhyperknesisselectivelyforhistaminergicandserotoninergicitchinhumans
AT larsarendtnielsen mildskinheatingevokeswarmthhyperknesisselectivelyforhistaminergicandserotoninergicitchinhumans