Non-dermatological Challenges of Chronic Itch
Chronic itch occurs in many skin diseases, but also in a variety of systemic, neurological, and psychogenic/psychosomatic disorders, or is caused by drug intake. When several diseases or causes co-exist, chronic itch is categorized as “mixed origin”. These patients present with unaltered skin or wit...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Society for Publication of Acta Dermato-Venereologica
2020
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128973/ https://www.ncbi.nlm.nih.gov/pubmed/31940045 http://dx.doi.org/10.2340/00015555-3345 |
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author | KREMER, Andreas E. METTANG, Thomas WEISSHAAR, Elke |
author_facet | KREMER, Andreas E. METTANG, Thomas WEISSHAAR, Elke |
author_sort | KREMER, Andreas E. |
collection | PubMed |
description | Chronic itch occurs in many skin diseases, but also in a variety of systemic, neurological, and psychogenic/psychosomatic disorders, or is caused by drug intake. When several diseases or causes co-exist, chronic itch is categorized as “mixed origin”. These patients present with unaltered skin or with chronic scratch lesions including chronic prurigo. Precise diagnostics are necessary to evaluate the underlying aetiology, to enable identification of the best treatment available, and to improve patients’ quality of life. This is of particular relevance in elderly people in whom chronic itch is often of systemic or mixed origin. Xerosis cutis is a frequent cofactor contributing to chronic itch of non-dermatological origin. Treatment is frequently multimodal, considering age, comorbidities, current drug intake, quality and intensity of itch. With regard to the demographic situation of the population, characterized by increasing life expectancy and polypharmacy, itch of non-dermatological origin will represent an increasing medical challenge in the future. |
format | Online Article Text |
id | pubmed-9128973 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Society for Publication of Acta Dermato-Venereologica |
record_format | MEDLINE/PubMed |
spelling | pubmed-91289732022-10-20 Non-dermatological Challenges of Chronic Itch KREMER, Andreas E. METTANG, Thomas WEISSHAAR, Elke Acta Derm Venereol Review Article Chronic itch occurs in many skin diseases, but also in a variety of systemic, neurological, and psychogenic/psychosomatic disorders, or is caused by drug intake. When several diseases or causes co-exist, chronic itch is categorized as “mixed origin”. These patients present with unaltered skin or with chronic scratch lesions including chronic prurigo. Precise diagnostics are necessary to evaluate the underlying aetiology, to enable identification of the best treatment available, and to improve patients’ quality of life. This is of particular relevance in elderly people in whom chronic itch is often of systemic or mixed origin. Xerosis cutis is a frequent cofactor contributing to chronic itch of non-dermatological origin. Treatment is frequently multimodal, considering age, comorbidities, current drug intake, quality and intensity of itch. With regard to the demographic situation of the population, characterized by increasing life expectancy and polypharmacy, itch of non-dermatological origin will represent an increasing medical challenge in the future. Society for Publication of Acta Dermato-Venereologica 2020-01-09 /pmc/articles/PMC9128973/ /pubmed/31940045 http://dx.doi.org/10.2340/00015555-3345 Text en © 2020 Acta Dermato-Venereologica https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the CC BY-NC license |
spellingShingle | Review Article KREMER, Andreas E. METTANG, Thomas WEISSHAAR, Elke Non-dermatological Challenges of Chronic Itch |
title | Non-dermatological Challenges of Chronic Itch |
title_full | Non-dermatological Challenges of Chronic Itch |
title_fullStr | Non-dermatological Challenges of Chronic Itch |
title_full_unstemmed | Non-dermatological Challenges of Chronic Itch |
title_short | Non-dermatological Challenges of Chronic Itch |
title_sort | non-dermatological challenges of chronic itch |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9128973/ https://www.ncbi.nlm.nih.gov/pubmed/31940045 http://dx.doi.org/10.2340/00015555-3345 |
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