Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica. A close-up of hyperpigmented patch of notalgia paresthetica. The brown, flat area underneath the right shoulder blade is caused by continual rubbing and scratching.
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Notalgia Paraesthetica  Information for adults

Picture of Notalgia Paraesthetica: Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica. Divider line
Just below the shoulder blade (scapula), a pigmented patch typical of notalgia paresthetica.
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Overview
Notalgia paresthetica is a condition where the skin of the upper back becomes itchy, and there is often a darker patch of skin on the itchy area. Notalgia paresthetica may be caused by a problem with the nerve cells that provide feeling to the skin of the upper back (sensory neuropathy). Skin changes, if present, are due to chronic rubbing and scratching of the affected area.
Last Modified: 22 Dec 2008