• Med. Clin. North Am. · Jul 2021

    Review

    Approach to the Patient with Chronic Pruritus.

    • Zoe M Lipman, Giuseppe Ingrasci, and Gil Yosipovitch.
    • Dr Phillip Frost Department of Dermatology and Miami Itch Center, University of Miami, University of Miami Hospital, 1600 Northwest 10th Avenue RMSB Building, 10th Street, 2067B Miami, FL, USA.
    • Med. Clin. North Am. 2021 Jul 1; 105 (4): 699-721.

    AbstractChronic pruritus (itch lasting ≥6 weeks) is a bothersome chief complaint that may present in a broad variety of diseases. Most itch-causing diagnoses fit into 1 of 5 categories (inflammatory, secondary to systemic disease, neuropathic, chronic pruritus of undetermined origin, and psychogenic itch) and this broad differential can be narrowed using key findings in the history and physical. In this article, we discuss which key findings are most pertinent for narrowing this differential and guiding further workup and treatment, as well as how to treat many itchy conditions.Copyright © 2021 Elsevier Inc. All rights reserved.

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