{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T10:58:15Z","timestamp":1774609095397,"version":"3.50.1"},"reference-count":49,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T00:00:00Z","timestamp":1443225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>It is estimated that 23 million Germans suffer from chronic pain. A recent survey has revealed that 30\u00a0% of chronic pain patients are dissatisfied with their pain management. Furthermore, five million Germans suffer from neuropathic pain, 20\u00a0% of whom are inadequately treated. Pain is also a symptom of many dermatologic diseases, which is mostly somatic and may be classified as mild in the majority of cases. Nevertheless, research on the quality of life (QoL) has increasingly shown a marked impairment of QoL by moderate pain such as in psoriatic arthritis. \u00adSevere pain is associated with herpes zoster (shingles), leg ulcers, and pyoderma gangrenosum.<\/jats:p><jats:p>This article addresses the basics of pain classification and, in a short excerpt, pain transduction\/transmission and modulation. The use of standardized diagnostic \u00adscales is recommended for the purpose of recording and monitoring pain intensity, which allows for the optimization of therapy and consistent interdisciplinary \u00adcommunication.<\/jats:p><jats:p>Any dermatology residency program includes the acquisition of knowledge and skills in pain management. This review therefore aims to present fundamental therapeutic concepts based on the expanded WHO analgesic ladder, and describes a step\u2010wise therapeutic approach and combination therapies. The article focuses on the pain management of the above\u2010mentioned severely painful, conservatively treated dermatoses. Besides well\u2010established therapeutic agents and current \u00adtherapeutic standards, it discusses specific options based on guidelines (where available). Current knowledge on peri\u2010 and postoperative pain management is briefly outlined.<\/jats:p><jats:p>This article addresses:\n<jats:list list-type=\"simple\">\n<jats:list-item><jats:p>\u25b8 The fundamentals of the classification and neurophysiology of pain;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>\u25b8 Standards for pain documentation in children and adults;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>\u25b8 General standards for pharmaceutical pain management;<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>\u25b8 Current specific treatment options for postherpetic neuralgia, leg ulcers, and \u00adpyoderma gangrenosum in conjunction with the expanded WHO analgesic \u00adladder.<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p>","DOI":"10.1111\/ddg.12822","type":"journal-article","created":{"date-parts":[[2015,9,26]],"date-time":"2015-09-26T10:14:56Z","timestamp":1443262496000},"page":"967-987","source":"Crossref","is-referenced-by-count":18,"title":["Pain and pain management in dermatology"],"prefix":"10.1111","volume":"13","author":[{"given":"Ulrike","family":"Beiteke","sequence":"first","affiliation":[{"name":"Department of Dermatology \u00adDortmund Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Bigge","sequence":"additional","affiliation":[{"name":"Dermatology Practice \u00adBachemerstra\u00dfe 1, H\u00fcrth"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Reichenberger","sequence":"additional","affiliation":[{"name":"Medical student W\u00fcrzburg \u00adUniversity"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Gralow","sequence":"additional","affiliation":[{"name":"Department of Pain Medicine M\u00fcnster University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,9,26]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(14)70150-4"},{"key":"e_1_2_15_3_1","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1111\/j.1610-0387.2009.07032_supp.x","article-title":"Schmerzen: Grundlagen und Bedeutung in der Dermatologie","volume":"7","author":"Nashan D","year":"2009","journal-title":"J Dtsch Dermatol Ges"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.2340\/00015555-1965"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-44605-8_3"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00023.2013"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/35093019"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-012-0245-8"},{"key":"e_1_2_15_9_1","first-page":"205","volume-title":"Sch\u00e4fer\u2010Korting. 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