Chronic pruritus Flashcards
Definition of chronic pruritus
> 6weeks
Dermatologic causes of chronic pruritus
atopic dermatitis, psoriasis, xerosis, scabies, contact dermatitis, inset bite, lichen planus
Systemic causes of chronic pruritus
CKD, cholestasis, Hodkin’s lymphoma, polycytehmia vera, HIV infxn, hyperthyroidism
Neuropathic causes of chronic pruritus
Brachioradial pruritus, notalgia paresthetica, posterherpetic itch
Psychogenic causes of chronic pruritus
OCD, delusions of parasitosis, substance abuse
Specific treatments for specific etiologies
Capsacin for notalgia paresthetica
Pramoxine for neuropathic/facial/anogenital itch
Sarna lotion
Doxepin cream in atopic and contact dermatitis
Gabapentin for CKD
SSRIs (mirtazapine)
Opiate agonists and antagonists