Mr. Garcia comes to your office for a rash on his chest associated with a burning pain. Even a light touch causes this burning sensation to worsen. On examination, you note a rash with small blisters (vesicles) on a background of reddened skin. The rash overlies an entire rib on his right side. What type of pain is this

This question lacks options, options are:

A. Neuropathic pain

B. Idiopathic pain

C. Nociceptive or somatic pain

D. Psychogenic pain

The correct answer is A.

Explanation:

Neuropathic pain is produced by damage or alteration in the structures of the nervous system.  Therefore, pain can be caused by damage to the peripheral nerves (peripheral neuropathic pain) or by damage to the spinal cord or brain (central neuropathic pain). There are many possible symptoms of neuropathic pain, many of the patients present sensations of burning or intense cold, stinging, tingling, numbness, corking or excessive heaviness, as well as a possible lack of sensitivity of the affected area. On the other hand, it also points to hypersensitivity, which translates into pain that appears at any slight friction, in addition to what is known as hyperalgesia, which is the term with which the phenomenon of unbearable pain is known before a minor puncture. One of the causes of peripheral nerve disorders is infection, such as Herpes Zoster, produced by the varicella zoster virus, this virus inflames and alters one of the nerve branches and the consequence of this is the production of initial pain, which has the characteristic of being a burning type. When the infection by this virus seriously alters the nerves and the eruptive lesions on the skin disappear, a pain known as post-herpetic neuralgia may persist on the area infected.

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