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This project aims to create a reliable, long-lasting itch model by synergistically combining thermal pre-conditioning with the application of histamine or cowhage.
Two areas (4x4 cm, one on each forearm), will be selected. Initially, superficial blood perfusion will be measured in each area, followed by pruritogens application. During the 10 minutes of the application of the pruritogens, itch will be continuously monitored using a VAS scale. After the pruritogens application, assessment of the superficial blood perfusion (SBP), mechanical sensitivity, and thermal sensitivity will be conducted. The session will be identical to the first session, but pre-heat conditioning will be applied prior to pruritogens application.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Active group | Experimental | Heath will be applied prior pruritogens application |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cowhage (Mucuna Pruriens) | Other | The spicules will be manually inserted. Approximately 30-35 spicules are gently rubbed into a 1 cm diameter skin area on the forearm/face |
|
| Measure | Description | Time Frame |
|---|---|---|
| Measuring pain by computerized Visual Analog Scale Scoring | We will ask the subjects to rate the sensation of pain on a 100 | Day 1 |
| Measuring Itch by computerized Visual Analog Scale Scoring | We will ask the subjects to rate the sensation of itch on a 100 | Day 1 |
| Measuring pain by computerized Visual Analog Scale Scoring | We will ask the subjects to rate the sensation of pain on a 100 | Day 2 |
| Measuring Itch by computerized Visual Analog Scale Scoring | We will ask the subjects to rate the sensation of itch on a 100 | Day 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Superficial blood perfusion | Superficial blood perfusion (SBP) is measured by a Speckle contrast imager | Day 1 |
| Superficial blood perfusion | Superficial blood perfusion (SBP) is measured by a Speckle contrast imager |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Silvia Lo Vecchio, PhD | Contact | 21397785 | 0045 | slv@hst.aau.dk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Center for Neuroplasticity and Pain Faculty of Medicine, Aalborg University Selma Lagerløfs Vej 249 9260 Gistrup, Denmark | Aalborg | Aalborg | 9620 | Denmark |
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| ID | Term |
|---|---|
| D011537 | Pruritus |
| ID | Term |
|---|---|
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012877 | Skin Manifestations |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D006632 | Histamine |
| D006358 | Hot Temperature |
| ID | Term |
|---|---|
| D015306 | Biogenic Monoamines |
| D001679 | Biogenic Amines |
| D000588 | Amines |
| D009930 | Organic Chemicals |
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| Histamine | Other | To deliver histamine, standard allergy skin prick test (SPT) lancets are applied |
|
| Heat | Other | 45 °C x 5 min |
|
| Day 2 |
| Alloknesis | Measured using a standardized sensory brush exerting a force of 200 to 400 mN. | Day 1 |
| Alloknesis | Measured using a standardized sensory brush exerting a force of 200 to 400 mN. | Day 2 |
| Mechanically evoked itch (MEI) | MEI is measured by using mildly pruritic, non-painful von Frey nylon filaments of a predetermined intensity (generally 5-30 miliNewton of force). | Day 1 |
| Mechanically evoked itch (MEI) | MEI is measured by using mildly pruritic, non-painful von Frey nylon filaments of a predetermined intensity (generally 5-30 miliNewton of force). | Day 2 |
| Mechanical Pain Thresholds (MPT) | This test is conducted using a pinprick set. The set consists of 7 needles each with a diameter of 0.6 mm and different force applications: 8, 16, 32, 64, 128, 256, and 512 mN. | Day 1 |
| Mechanical Pain Thresholds (MPT) | This test is conducted using a pinprick set. The set consists of 7 needles each with a diameter of 0.6 mm and different force applications: 8, 16, 32, 64, 128, 256, and 512 mN. | Day 2 |
| Mechanical Pain Sensitivity (MPS) | This test is conducted with the same pinprick set used to test the MPT. | Day 1 |
| Mechanical Pain Sensitivity (MPS) | This test is conducted with the same pinprick set used to test the MPT. | Day 2 |
| Cold Detection Thresholds (CDT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 1 |
| Cold Detection Thresholds (CDT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 2 |
| Warm Detection Thresholds (WDT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 1 |
| Warm Detection Thresholds (WDT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 2 |
| Cold Pain Thresholds (CPT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 1 |
| Cold Pain Thresholds (CPT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 2 |
| Heat Pain Thresholds (HPT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 1 |
| Heat Pain Thresholds (HPT) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 2 |
| Pain to Supra-threshold Heat Stimuli (STHS) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 1 |
| Pain to Supra-threshold Heat Stimuli (STHS) | The tests of thermal sensation will all be conducted using a PATHWAY ATS (Medoc Ltd, Israel) thermal sensory testing device | Day 2 |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D005021 |
| Ethylamines |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D012898 | Autacoids |
| D018836 | Inflammation Mediators |
| D001685 | Biological Factors |
| D013696 | Temperature |
| D013816 | Thermodynamics |
| D055585 | Physical Phenomena |
| D014887 | Weather |
| D001272 | Atmosphere |
| D004777 | Environment |
| D055669 | Ecological and Environmental Phenomena |
| D001686 | Biological Phenomena |
| D008685 | Meteorological Concepts |
| D004778 | Environment and Public Health |