Somatosensory profiling to differentiate distinct painful diseases of the pancreas: a quantitative sensory testing case-control study
Mechanisms of pancreatic pain are insufficiently understood, and quantitative sensory testing (QST) may help to identify the underlying mechanisms. Accordingly, this study assessed comprehensive somatosensory profiles encompassing nociceptive and nonnociceptive parameters in 70 patients with distinc...
Gespeichert in:
| Hauptverfasser: | , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
October 2025
|
| In: |
Pain
Year: 2025, Jahrgang: 166, Heft: 10, Pages: 2322-2331 |
| ISSN: | 1872-6623 |
| DOI: | 10.1097/j.pain.0000000000003601 |
| Online-Zugang: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/j.pain.0000000000003601 Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/pain/fulltext/2025/10000/somatosensory_profiling_to_differentiate_distinct.16.aspx 
|
| Verfasserangaben: | Philipp Göltl, Paul Merz, Alexander Schneider, Matthias P. Ebert, Michael Hirth, Walter Magerl |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1941413021 | ||
| 003 | DE-627 | ||
| 005 | 20251120193604.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 251117s2025 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1097/j.pain.0000000000003601 |2 doi | |
| 035 | |a (DE-627)1941413021 | ||
| 035 | |a (DE-599)KXP1941413021 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Göltl, Philipp |d 1995- |e VerfasserIn |0 (DE-588)1323488413 |0 (DE-627)1883459362 |4 aut | |
| 245 | 1 | 0 | |a Somatosensory profiling to differentiate distinct painful diseases of the pancreas |b a quantitative sensory testing case-control study |c Philipp Göltl, Paul Merz, Alexander Schneider, Matthias P. Ebert, Michael Hirth, Walter Magerl |
| 264 | 1 | |c October 2025 | |
| 300 | |b Illustrationen, Diagramme | ||
| 300 | |a 10 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 17.11.2025 | ||
| 520 | |a Mechanisms of pancreatic pain are insufficiently understood, and quantitative sensory testing (QST) may help to identify the underlying mechanisms. Accordingly, this study assessed comprehensive somatosensory profiles encompassing nociceptive and nonnociceptive parameters in 70 patients with distinct pancreatic diseases, namely acute (n = 23), chronic (n = 20), or autoimmune pancreatitis (n = 10) and pancreatic cancer (n = 17) and compared it with 30 healthy control subjects by standardized QST (protocol of the German research network on neuropathic pain). Patients with pancreatic diseases presented significant somatosensory deficits in all thermal and tactile detection and pain thresholds in the pancreatic viscerotome (Th10), when compared with a remote control area (dermatome C5) or reference data of matched healthy controls (P < 0.05-P < 0.0001). Unaltered vibration detection emphasizes the strictly regional character of losses. Loss of sensitivity paralleled the occurrence of paradoxical heat sensation (Th10 vs C5; P < 0.05), an indicator of thermal integration deficit. Punctate hyperalgesia or pain to light touch, the hallmark signs of spinal central sensitization were mostly absent and pain summation remained unchanged (P > 0.05). Stratification of patients revealed that somatosensory deficits were significantly more pronounced in acute compared with chronic pancreatitis (eg, cold and warm detection thresholds: −2.19 ± 1.42 vs −1.10 ± 1.23 and −1.30 ± 1.68 vs −0.11 ± 1.80 z-values; P < 0.05 each). Notably, blunt pressure hyperalgesia, the only somatosensory parameter exhibiting significant gain compared with the patients' remote C5 segment, was a frequent finding only in acute, but not in chronic pancreatitis. The somatosensory phenotype of patients with distinct pancreatic disorders was characterized by a wide array of sensory losses being most severe in acute pancreatitis. | ||
| 700 | 1 | |a Merz, Paul |d 1998- |e VerfasserIn |0 (DE-588)1381790593 |0 (DE-627)1941420087 |4 aut | |
| 700 | 1 | |a Schneider, Alexander |d 1971- |e VerfasserIn |0 (DE-588)120533448 |0 (DE-627)696757583 |0 (DE-576)250454335 |4 aut | |
| 700 | 1 | |a Ebert, Matthias |d 1968- |e VerfasserIn |0 (DE-588)1030133522 |0 (DE-627)734827083 |0 (DE-576)377938432 |4 aut | |
| 700 | 1 | |a Hirth, Michael |d 1986- |e VerfasserIn |0 (DE-588)1051645808 |0 (DE-627)786507624 |0 (DE-576)406937281 |4 aut | |
| 700 | 1 | |a Magerl, Walter |e VerfasserIn |0 (DE-588)1028214235 |0 (DE-627)730453138 |0 (DE-576)37571247X |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Pain |d New York, NY [u.a.] : Lippincott Williams and Wilkins, 1975 |g 166(2025), 10 vom: Okt., Seite 2322-2331 |h Online-Ressource |w (DE-627)303259981 |w (DE-600)1494115-6 |w (DE-576)091136288 |x 1872-6623 |7 nnas |a Somatosensory profiling to differentiate distinct painful diseases of the pancreas a quantitative sensory testing case-control study |
| 773 | 1 | 8 | |g volume:166 |g year:2025 |g number:10 |g month:10 |g pages:2322-2331 |g extent:10 |a Somatosensory profiling to differentiate distinct painful diseases of the pancreas a quantitative sensory testing case-control study |
| 856 | 4 | 0 | |u https://doi.org/10.1097/j.pain.0000000000003601 |x Verlag |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u https://journals.lww.com/pain/fulltext/2025/10000/somatosensory_profiling_to_differentiate_distinct.16.aspx |x Verlag |z lizenzpflichtig |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20251117 | ||
| 993 | |a Article | ||
| 994 | |a 2025 | ||
| 998 | |g 1028214235 |a Magerl, Walter |m 1028214235:Magerl, Walter |d 60000 |e 60000PM1028214235 |k 0/60000/ |p 6 |y j | ||
| 998 | |g 1051645808 |a Hirth, Michael |m 1051645808:Hirth, Michael |d 60000 |d 61100 |e 60000PH1051645808 |e 61100PH1051645808 |k 0/60000/ |k 1/60000/61100/ |p 5 | ||
| 998 | |g 1030133522 |a Ebert, Matthias |m 1030133522:Ebert, Matthias |d 60000 |d 61100 |e 60000PE1030133522 |e 61100PE1030133522 |k 0/60000/ |k 1/60000/61100/ |p 4 | ||
| 998 | |g 120533448 |a Schneider, Alexander |m 120533448:Schneider, Alexander |d 60000 |d 61100 |e 60000PS120533448 |e 61100PS120533448 |k 0/60000/ |k 1/60000/61100/ |p 3 | ||
| 998 | |g 1381790593 |a Merz, Paul |m 1381790593:Merz, Paul |d 60000 |e 60000PM1381790593 |k 0/60000/ |p 2 | ||
| 998 | |g 1323488413 |a Göltl, Philipp |m 1323488413:Göltl, Philipp |d 60000 |e 60000PG1323488413 |k 0/60000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1941413021 |e 4807908863 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"recId":"1941413021","id":{"doi":["10.1097/j.pain.0000000000003601"],"eki":["1941413021"]},"origin":[{"dateIssuedKey":"2025","dateIssuedDisp":"October 2025"}],"physDesc":[{"noteIll":"Illustrationen, Diagramme","extent":"10 S."}],"relHost":[{"note":["Gesehen am 28.10.24"],"language":["eng"],"disp":"Somatosensory profiling to differentiate distinct painful diseases of the pancreas a quantitative sensory testing case-control studyPain","recId":"303259981","title":[{"title_sort":"Pain","subtitle":"the journal of the International Association for the Study of Pain","title":"Pain"}],"part":{"text":"166(2025), 10 vom: Okt., Seite 2322-2331","extent":"10","volume":"166","year":"2025","issue":"10","pages":"2322-2331"},"corporate":[{"role":"isb","display":"International Association for the Study of Pain"}],"type":{"media":"Online-Ressource","bibl":"periodical"},"origin":[{"dateIssuedKey":"1975","publisher":"Lippincott Williams and Wilkins ; Elsevier","dateIssuedDisp":"1975-","publisherPlace":"New York, NY [u.a.] ; Amsterdam [u.a.]"}],"id":{"zdb":["1494115-6"],"eki":["303259981"],"issn":["1872-6623"]},"physDesc":[{"extent":"Online-Ressource"}],"pubHistory":["1.1975 -"]}],"type":{"media":"Online-Ressource","bibl":"article-journal"},"name":{"displayForm":["Philipp Göltl, Paul Merz, Alexander Schneider, Matthias P. Ebert, Michael Hirth, Walter Magerl"]},"person":[{"role":"aut","given":"Philipp","display":"Göltl, Philipp","family":"Göltl"},{"given":"Paul","role":"aut","family":"Merz","display":"Merz, Paul"},{"display":"Schneider, Alexander","family":"Schneider","role":"aut","given":"Alexander"},{"role":"aut","given":"Matthias","display":"Ebert, Matthias","family":"Ebert"},{"given":"Michael","role":"aut","family":"Hirth","display":"Hirth, Michael"},{"given":"Walter","role":"aut","family":"Magerl","display":"Magerl, Walter"}],"title":[{"title":"Somatosensory profiling to differentiate distinct painful diseases of the pancreas","subtitle":"a quantitative sensory testing case-control study","title_sort":"Somatosensory profiling to differentiate distinct painful diseases of the pancreas"}],"note":["Gesehen am 17.11.2025"],"language":["eng"]} | ||
| SRT | |a GOELTLPHILSOMATOSENS2025 | ||