Hunan hand syndrome: Difference between revisions
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'''Hunan hand syndrome''' (also known as " |
'''Hunan hand syndrome''' (also known as "chili burn"<ref name="Bolognia" />) is a temporary, but very painful, cutaneous condition that commonly afflicts those who handle, prepare, or cook with fresh or roasted [[chili peppers]].<ref name="Bolognia">{{cite book |author=Rapini, Ronald P. |author2=Bolognia, Jean L. |author3=Jorizzo, Joseph L. |title=Dermatology: 2-Volume Set |publisher=Mosby |location=St. Louis |year=2007 |isbn=978-1-4160-2999-1 }}</ref> It was first described in an eponymous case report in the [[New England Journal of Medicine]] in 1981.<ref name="pmid7278919">{{cite journal | vauthors = Weinberg RB | title = Hunan Hand | journal = New England Journal of Medicine | volume = 305 | issue = 17 | pages = 1020 | date = October 1981 | doi = 10.1056/NEJM198110223051718 | pmid = 7278919 }}</ref> It occurs when the [[phytochemical]] [[capsaicin]], which can be present in very high concentrations in certain varieties of [[chili peppers]], (especially with [[superhot peppers]] such as [[ghost pepper]]s or [[carolina reaper]]s) contacts cutaneous free [[nerve endings]] which are present in high density in finger tips. This triggers the release of [[substance P]], which in turn causes a sensation of intense burning pain. Various treatments for Hunan Hand have been described, including soaking the affected fingers in [[lidocaine]];<ref name="pmid7278919" /> [[milk]] or [[vinegar]];<ref name="vogl">{{cite journal | author = Vogl TP | title = Treatment of Hunan Hand | journal = New England Journal of Medicine | volume = 306 | issue = 3 | pages = 178 | date = January 1982 | pmid = 7054672 | doi=10.1056/nejm198201213060321}}</ref> or the use of local [[nerve blocks]], [[gabapentin]], or topical [[corticosteroids]].<ref name="pmid22681338">{{cite journal | author1 = Saxena AK | author2=Mandhyan R | title = Multimodal approach for the management of Hunan hand syndrome | journal = Pain Practice | volume = 13 | issue = 3 | pages = 227–2300 | date = March 2013 | pmid = 22681338 | doi=10.1111/j.1533-2500.2012.00567.x}}</ref> Hunan hand can be prevented by wearing rubber gloves when handling [[chili peppers]]. |
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== See also == |
== See also == |
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Revision as of 16:36, 27 July 2023
| Hunan hand syndrome | |
|---|---|
| Other names | Chili burn |
| Specialty | Dermatology |
| Causes | Exposure to capsaicin from improper handling of chili peppers, higher risk from high concentrations of capsaicin |
| Prevention | Wearing rubber gloves when preparing or handling chili peppers, especially for superhot chilis |
Hunan hand syndrome (also known as "chili burn"[1]) is a temporary, but very painful, cutaneous condition that commonly afflicts those who handle, prepare, or cook with fresh or roasted chili peppers.[1] It was first described in an eponymous case report in the New England Journal of Medicine in 1981.[2] It occurs when the phytochemical capsaicin, which can be present in very high concentrations in certain varieties of chili peppers, (especially with superhot peppers such as ghost peppers or carolina reapers) contacts cutaneous free nerve endings which are present in high density in finger tips. This triggers the release of substance P, which in turn causes a sensation of intense burning pain. Various treatments for Hunan Hand have been described, including soaking the affected fingers in lidocaine;[2] milk or vinegar;[3] or the use of local nerve blocks, gabapentin, or topical corticosteroids.[4] Hunan hand can be prevented by wearing rubber gloves when handling chili peppers.
See also
References
- ^ a b Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBN 978-1-4160-2999-1.
- ^ a b Weinberg RB (October 1981). "Hunan Hand". New England Journal of Medicine. 305 (17): 1020. doi:10.1056/NEJM198110223051718. PMID 7278919.
- ^ Vogl TP (January 1982). "Treatment of Hunan Hand". New England Journal of Medicine. 306 (3): 178. doi:10.1056/nejm198201213060321. PMID 7054672.
- ^ Saxena AK; Mandhyan R (March 2013). "Multimodal approach for the management of Hunan hand syndrome". Pain Practice. 13 (3): 227–2300. doi:10.1111/j.1533-2500.2012.00567.x. PMID 22681338.
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