UNSTRUCTURED A 73-year-old female presented with a 2-year history of intermittent pruritis along the neck and dorsolateral upper extremities. The patient never perceived pain in this area, but only severe pruritis which worsened in hot, sunny weather. Pruritis occurred in an episodic pattern, and symptoms improved with daily loratidine and bismuth subsalicyclate, for which she began to take prophylactically after her last episode. The patient reported no dermatological disease, familial pruritis, or trauma to the spine or extremities. Neurological exam was normal at the time of clinic visit, and magnetic resonance imaging (MRI) of the cervical spine demonstrated multilevel degenerative disease with bilateral neuroforaminal stenosis that was most severe at C4-C5 and C5-C6.