Experimenter- and Infrared Thermography–Derived Measures of Capsaicin-Induced Neurogenic Flare Among Non-Hispanic White and Black Adults

Abstract Objective Capsaicin is a widely utilized experimental pain stimulus; however, few studies have reported on ethnic differences in pain responses to capsaicin. The present study used infrared thermography to 1) measure differences in capsaicin-induced neurogenic flare between non-Hispanic bla...

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Veröffentlicht in:Pain medicine (Malden, Mass.) Mass.), 2020-10, Vol.21 (10), p.2262-2270
Hauptverfasser: Fulton, Brook A, Burton, Emily F, Nance, Sabrina, Letzen, Janelle E, Campbell, Claudia M
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container_issue 10
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container_title Pain medicine (Malden, Mass.)
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creator Fulton, Brook A
Burton, Emily F
Nance, Sabrina
Letzen, Janelle E
Campbell, Claudia M
description Abstract Objective Capsaicin is a widely utilized experimental pain stimulus; however, few studies have reported on ethnic differences in pain responses to capsaicin. The present study used infrared thermography to 1) measure differences in capsaicin-induced neurogenic flare between non-Hispanic black (NHB) and non-Hispanic white (NHW) adults and 2) determine the association between neurogenic flare and secondary hyperalgesia. Methods Fifty-four participants (NHB N = 28) underwent heat/capsaicin sensitization model procedures. Neurogenic flare was examined using experimenter (i.e., subjective) and thermography (i.e., objective) measurements. A typically nonpainful mechanical punctate probe was used to measure secondary hyperalgesia. Results Ethnic groups did not significantly differ in age, sex, marital status, or personal income. Although experimenters rated a significantly wider area of capsaicin-related neurogenic flare among NHW compared with NHB participants (F1, 52 = 8.33, P = 0.006), thermography results showed no differences between groups in neurogenic flares (F1, 52 = 0.01, P = 0.93). Further, although NHB individuals reported greater average pain during the capsaicin procedures compared with NHW individuals (NHB = 58.57 [3.67], NHW = 46.46 [3.81]; F2, 51 = 5.19, P = 0.03), the groups did not differ in secondary hyperalgesia (F2, 51 = 0.03, P = 0.86), and ethnicity did not moderate the association between neurogenic flare and secondary hyperalgesia (F3, 50 = 0.24, P = 0.87). Conclusions Findings cautiously support the use of infrared thermography over subjective experimenter report when measuring neurogenic inflammation in diverse samples. However, infrared thermography should not be used as a diagnostic tool for pain, given the lack of association between these factors. Future research is warranted to replicate these findings in a larger and more diverse sample to determine accurate neurogenic inflammation measures across other ethnic minority populations.
doi_str_mv 10.1093/pm/pnaa006
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The present study used infrared thermography to 1) measure differences in capsaicin-induced neurogenic flare between non-Hispanic black (NHB) and non-Hispanic white (NHW) adults and 2) determine the association between neurogenic flare and secondary hyperalgesia. Methods Fifty-four participants (NHB N = 28) underwent heat/capsaicin sensitization model procedures. Neurogenic flare was examined using experimenter (i.e., subjective) and thermography (i.e., objective) measurements. A typically nonpainful mechanical punctate probe was used to measure secondary hyperalgesia. Results Ethnic groups did not significantly differ in age, sex, marital status, or personal income. Although experimenters rated a significantly wider area of capsaicin-related neurogenic flare among NHW compared with NHB participants (F1, 52 = 8.33, P = 0.006), thermography results showed no differences between groups in neurogenic flares (F1, 52 = 0.01, P = 0.93). Further, although NHB individuals reported greater average pain during the capsaicin procedures compared with NHW individuals (NHB = 58.57 [3.67], NHW = 46.46 [3.81]; F2, 51 = 5.19, P = 0.03), the groups did not differ in secondary hyperalgesia (F2, 51 = 0.03, P = 0.86), and ethnicity did not moderate the association between neurogenic flare and secondary hyperalgesia (F3, 50 = 0.24, P = 0.87). Conclusions Findings cautiously support the use of infrared thermography over subjective experimenter report when measuring neurogenic inflammation in diverse samples. However, infrared thermography should not be used as a diagnostic tool for pain, given the lack of association between these factors. Future research is warranted to replicate these findings in a larger and more diverse sample to determine accurate neurogenic inflammation measures across other ethnic minority populations.</description><identifier>ISSN: 1526-2375</identifier><identifier>EISSN: 1526-4637</identifier><identifier>DOI: 10.1093/pm/pnaa006</identifier><identifier>PMID: 32142151</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; African Americans ; Blacks ; Capsaicin ; Comparative analysis ; Demographic aspects ; Development and progression ; Ethnic Groups ; Ethnicity ; Health aspects ; Hispanic Americans ; Humans ; Hyperalgesia ; Hyperalgesia - chemically induced ; Inflammation ; Methodology, Mechanisms &amp; Translational Research Section ; Minority &amp; ethnic groups ; Minority Groups ; Nerves ; Pain ; Pain perception ; Physiological aspects ; Testing ; Thermography ; Whites</subject><ispartof>Pain medicine (Malden, Mass.), 2020-10, Vol.21 (10), p.2262-2270</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.All rights reserved. For permissions, please e-mail: journals.permissions@oup.com 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>COPYRIGHT 2020 Oxford University Press</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the American Academy of Pain Medicine.All rights reserved. For permissions, please e-mail: journals.permissions@oup.com</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c392t-b7b2c6482e81a3c3cbe1a2e464dfc8e5744849f0178e9212d240cd95eef1aa13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,1584,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32142151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fulton, Brook A</creatorcontrib><creatorcontrib>Burton, Emily F</creatorcontrib><creatorcontrib>Nance, Sabrina</creatorcontrib><creatorcontrib>Letzen, Janelle E</creatorcontrib><creatorcontrib>Campbell, Claudia M</creatorcontrib><title>Experimenter- and Infrared Thermography–Derived Measures of Capsaicin-Induced Neurogenic Flare Among Non-Hispanic White and Black Adults</title><title>Pain medicine (Malden, Mass.)</title><addtitle>Pain Med</addtitle><description>Abstract Objective Capsaicin is a widely utilized experimental pain stimulus; however, few studies have reported on ethnic differences in pain responses to capsaicin. The present study used infrared thermography to 1) measure differences in capsaicin-induced neurogenic flare between non-Hispanic black (NHB) and non-Hispanic white (NHW) adults and 2) determine the association between neurogenic flare and secondary hyperalgesia. Methods Fifty-four participants (NHB N = 28) underwent heat/capsaicin sensitization model procedures. Neurogenic flare was examined using experimenter (i.e., subjective) and thermography (i.e., objective) measurements. A typically nonpainful mechanical punctate probe was used to measure secondary hyperalgesia. Results Ethnic groups did not significantly differ in age, sex, marital status, or personal income. Although experimenters rated a significantly wider area of capsaicin-related neurogenic flare among NHW compared with NHB participants (F1, 52 = 8.33, P = 0.006), thermography results showed no differences between groups in neurogenic flares (F1, 52 = 0.01, P = 0.93). Further, although NHB individuals reported greater average pain during the capsaicin procedures compared with NHW individuals (NHB = 58.57 [3.67], NHW = 46.46 [3.81]; F2, 51 = 5.19, P = 0.03), the groups did not differ in secondary hyperalgesia (F2, 51 = 0.03, P = 0.86), and ethnicity did not moderate the association between neurogenic flare and secondary hyperalgesia (F3, 50 = 0.24, P = 0.87). Conclusions Findings cautiously support the use of infrared thermography over subjective experimenter report when measuring neurogenic inflammation in diverse samples. However, infrared thermography should not be used as a diagnostic tool for pain, given the lack of association between these factors. Future research is warranted to replicate these findings in a larger and more diverse sample to determine accurate neurogenic inflammation measures across other ethnic minority populations.</description><subject>Adult</subject><subject>African Americans</subject><subject>Blacks</subject><subject>Capsaicin</subject><subject>Comparative analysis</subject><subject>Demographic aspects</subject><subject>Development and progression</subject><subject>Ethnic Groups</subject><subject>Ethnicity</subject><subject>Health aspects</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Hyperalgesia</subject><subject>Hyperalgesia - chemically induced</subject><subject>Inflammation</subject><subject>Methodology, Mechanisms &amp; Translational Research Section</subject><subject>Minority &amp; ethnic groups</subject><subject>Minority Groups</subject><subject>Nerves</subject><subject>Pain</subject><subject>Pain perception</subject><subject>Physiological aspects</subject><subject>Testing</subject><subject>Thermography</subject><subject>Whites</subject><issn>1526-2375</issn><issn>1526-4637</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kk1rFEEQhgdRzIde_AEyIEIQJumv-boI65qYhRgvCx6b2p6a2Y4z3Z3umWBunr36D_0l9rprSESkD91UPfUWb3UlyQtKjimp-YkbTpwBIKR4lOzTnBWZKHj5ePdmvMz3koMQrgihhaj402SPMyoYzel-8v30q0OvBzQj-iwF06QL03rw2KTLNfrBdh7c-vbntx_vI3cTwx8RwuQxpLZN5-ACaKVNtjDNpGL2EidvOzRapWd9lElngzVdemlNdq6Dg03i81qP-LvXux7Ul3TWTP0YniVPWugDPt_dh8ny7HQ5P88uPn1YzGcXmeI1G7NVuWIq-mBYUeCKqxVSYCgK0bSqwrwUohJ1S2hZYc0oa5ggqqlzxJYCUH6YvN3Kumk1YKOicw-9dHEI4G-lBS0fZoxey87eyDKveUVYFDjaCXh7PWEY5aCDwr4Hg3YKMg5ccE4IyyP66i_0yk7eRHeSiTJ-TJGX96gOepTatDb2VRtROSsJETkTrIrU8T-oeBoctLIGWx3jDwrebAuUtyF4bO88UiI3iyPdIHeLE-GX96dyh_7ZlAi83gJ2cv8T-gWCrc1M</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Fulton, Brook A</creator><creator>Burton, Emily F</creator><creator>Nance, Sabrina</creator><creator>Letzen, Janelle E</creator><creator>Campbell, Claudia M</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20201001</creationdate><title>Experimenter- and Infrared Thermography–Derived Measures of Capsaicin-Induced Neurogenic Flare Among Non-Hispanic White and Black Adults</title><author>Fulton, Brook A ; 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however, few studies have reported on ethnic differences in pain responses to capsaicin. The present study used infrared thermography to 1) measure differences in capsaicin-induced neurogenic flare between non-Hispanic black (NHB) and non-Hispanic white (NHW) adults and 2) determine the association between neurogenic flare and secondary hyperalgesia. Methods Fifty-four participants (NHB N = 28) underwent heat/capsaicin sensitization model procedures. Neurogenic flare was examined using experimenter (i.e., subjective) and thermography (i.e., objective) measurements. A typically nonpainful mechanical punctate probe was used to measure secondary hyperalgesia. Results Ethnic groups did not significantly differ in age, sex, marital status, or personal income. Although experimenters rated a significantly wider area of capsaicin-related neurogenic flare among NHW compared with NHB participants (F1, 52 = 8.33, P = 0.006), thermography results showed no differences between groups in neurogenic flares (F1, 52 = 0.01, P = 0.93). Further, although NHB individuals reported greater average pain during the capsaicin procedures compared with NHW individuals (NHB = 58.57 [3.67], NHW = 46.46 [3.81]; F2, 51 = 5.19, P = 0.03), the groups did not differ in secondary hyperalgesia (F2, 51 = 0.03, P = 0.86), and ethnicity did not moderate the association between neurogenic flare and secondary hyperalgesia (F3, 50 = 0.24, P = 0.87). Conclusions Findings cautiously support the use of infrared thermography over subjective experimenter report when measuring neurogenic inflammation in diverse samples. However, infrared thermography should not be used as a diagnostic tool for pain, given the lack of association between these factors. Future research is warranted to replicate these findings in a larger and more diverse sample to determine accurate neurogenic inflammation measures across other ethnic minority populations.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>32142151</pmid><doi>10.1093/pm/pnaa006</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
African Americans
Blacks
Capsaicin
Comparative analysis
Demographic aspects
Development and progression
Ethnic Groups
Ethnicity
Health aspects
Hispanic Americans
Humans
Hyperalgesia
Hyperalgesia - chemically induced
Inflammation
Methodology, Mechanisms & Translational Research Section
Minority & ethnic groups
Minority Groups
Nerves
Pain
Pain perception
Physiological aspects
Testing
Thermography
Whites
title Experimenter- and Infrared Thermography–Derived Measures of Capsaicin-Induced Neurogenic Flare Among Non-Hispanic White and Black Adults
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