After 15 min, a reduction in symptom severity to 4/10 was noted, and at around 10 p.m., the severity was graded as < 3/10. 3 Given the shared mechanism of action on central GABA-A receptors between ethanol and benzodiazepines, 4 the patient acutely ingested 100 ml of liquor (40% ethanol). 1 Patient did not have any access to those medications or NSAIDs, which were recommended modality per non-peer-reviewed sources. ![]() ![]() The only peer-reviewed literature report demonstrated that benzodiazepines and antihistamines were used successfully in abating the symptoms and the urge to scratch. Cold shower decreased the intensity from 10 to 8/10, but severity promptly increased upon cessation of the shower. The pain was constant and was not alleviated by ice-packs, cold compresses, aloe-vera lotion, or one dose of paracetamol 1000 mg. On day 2 after initial sun exposure leading to burns, around 5 p.m., the patient started experiencing a sudden onset, 10/10 in intensity, localized itching pain and discomfort over the sunburnt area, consistent with symptoms of Hell’s itch. 2 Besides the skin erythema noted on the following morning, the patient did not report any other symptoms. The daytime temperature was around 30☌, with an average UV Index of 9. during early July in Cleveland area ( Figure 1). More data and topical research should help to establish its epidemiological and clinical importance for primary and specialty practice.Ī 28-year-old healthy male (Fitzpatrick skin type III) sustained a first-degree sunburn of the chest after being exposed to direct sunlight from 3 p.m. Hell’s itch possibly represents an underreported and understudied phenomenon. A Google search yielded 644 000 results as compared to 158 000 reported in 2018, which demonstrates that the non-peer-reviewed literature increased substantially. ![]() 1 The aforementioned report, published in December 2018, remains the only peer-reviewed article on the topic (current as of 20 September 2020), and I report the following case in this letter. I have read with interest the self-reported case of Hell’s itch due to sunburn. Letter to the editor, sunburn, Hell's itch, acute pain
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