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Pruritus (Itch)

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Textbook of Primary Care Dermatology
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Abstract

Pruritus is the most common symptom in dermatology. Chronic pruritus (itch for more than 6 weeks) can be very distressing and can be as difficult to live with as chronic pain. Many patients can develop secondary psychiatric problems such as anxiety, insomnia or depression. Conversely, a primary psychiatric disorder may present with pruritus because of an illusion, delusion or phobia. Chronic itch can cause severe impairment in a patient’s quality of life. While every effort should be made to identify and treat the underlying cause, effective anti- pruritus measure may be required while awaiting the results of investigations, a response to treatment or if no cause can be found for the itch.

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References

  1. Smith PF, Corelli RL. Doxepin in the management of pruritus associated with allergic cutaneous reactions. Ann Pharmacother. 1997;31(5):633–5.

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  2. Pereira MP, Kremer AE, Mettang T, Ständer S. Chronic pruritus in the absence of skin disease: pathophysiology, diagnosis and treatment. Am J Clin Dermatol. 2016;17(4):337–48.

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Buckley, D. (2021). Pruritus (Itch). In: Buckley, D., Pasquali, P. (eds) Textbook of Primary Care Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-29101-3_50

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  • DOI: https://doi.org/10.1007/978-3-030-29101-3_50

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-29100-6

  • Online ISBN: 978-3-030-29101-3

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