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Position Statement : Linear prurigo is a subtype of chronic prurigo

, ; Pereira, M. P.; Zeidler, C.; Nau, T.; Bobko, S.; Evers, A. W.M.; Garcovich, S.; Gonçalo, M.; Halvorsen, J. A. and Lambert, J. LU , et al. (2019) In Journal of the European Academy of Dermatology and Venereology 33(2). p.263-266
Abstract

Background: Chronic prurigo (CPG) is a distinct disease characterized by chronic pruritus, history and/or signs of prolonged scratching and multiple pruriginous lesions. It may present with various clinical manifestations, including papules, nodules, plaques or umbilicated lesions. Some patients with chronic pruritus show pruriginous linear and scaring scratch lesions (LSSL) and it is unclear whether these lesions belong to the spectrum of CPG. Objective: To achieve a consensus on the classification of pruriginous LSSL and establish criteria to differentiate them from similar appearing conditions of different nature. Methods: Members of the Task Force Pruritus (TFP) of the European Academy of Dermatology and Venereology participated in... (More)

Background: Chronic prurigo (CPG) is a distinct disease characterized by chronic pruritus, history and/or signs of prolonged scratching and multiple pruriginous lesions. It may present with various clinical manifestations, including papules, nodules, plaques or umbilicated lesions. Some patients with chronic pruritus show pruriginous linear and scaring scratch lesions (LSSL) and it is unclear whether these lesions belong to the spectrum of CPG. Objective: To achieve a consensus on the classification of pruriginous LSSL and establish criteria to differentiate them from similar appearing conditions of different nature. Methods: Members of the Task Force Pruritus (TFP) of the European Academy of Dermatology and Venereology participated in the consensus conference, discussing representative clinical cases. Using the Delphi method, consensus was reached when ≥75% of members agreed on a statement. Results: Twenty-one members of the TFP with voting rights participated in the meeting. It was consented that LSSL occurs due to chronic pruritus and prolonged scratching, and share common pathophysiological mechanisms with CPG. LSSL were thus considered as belonging to the spectrum of CPG and the term ‘linear prurigo’ was chosen to describe this manifestation. Conclusion: Considering linear prurigo as belonging to the spectrum of CPG has important clinical implications, since both the diagnostic and therapeutic approach of these patients should be performed as recommended for CPG. Importantly, linear prurigo should be differentiated from self-inflicted skin lesions as factitious disorders or skin picking syndromes. In the latter, artificial manipulation rather than pruritus itself leads to the development of cutaneous lesions, which can show clinical similarities to linear prurigo.

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publication status
published
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Journal of the European Academy of Dermatology and Venereology
volume
33
issue
2
pages
4 pages
publisher
Elsevier
external identifiers
  • scopus:85055884171
ISSN
0926-9959
DOI
10.1111/jdv.15275
language
English
LU publication?
yes
id
04bd1dcb-0408-4949-9932-ab9d5f588314
date added to LUP
2019-07-23 12:51:56
date last changed
2019-10-15 07:11:38
@article{04bd1dcb-0408-4949-9932-ab9d5f588314,
  abstract     = {<p>Background: Chronic prurigo (CPG) is a distinct disease characterized by chronic pruritus, history and/or signs of prolonged scratching and multiple pruriginous lesions. It may present with various clinical manifestations, including papules, nodules, plaques or umbilicated lesions. Some patients with chronic pruritus show pruriginous linear and scaring scratch lesions (LSSL) and it is unclear whether these lesions belong to the spectrum of CPG. Objective: To achieve a consensus on the classification of pruriginous LSSL and establish criteria to differentiate them from similar appearing conditions of different nature. Methods: Members of the Task Force Pruritus (TFP) of the European Academy of Dermatology and Venereology participated in the consensus conference, discussing representative clinical cases. Using the Delphi method, consensus was reached when ≥75% of members agreed on a statement. Results: Twenty-one members of the TFP with voting rights participated in the meeting. It was consented that LSSL occurs due to chronic pruritus and prolonged scratching, and share common pathophysiological mechanisms with CPG. LSSL were thus considered as belonging to the spectrum of CPG and the term ‘linear prurigo’ was chosen to describe this manifestation. Conclusion: Considering linear prurigo as belonging to the spectrum of CPG has important clinical implications, since both the diagnostic and therapeutic approach of these patients should be performed as recommended for CPG. Importantly, linear prurigo should be differentiated from self-inflicted skin lesions as factitious disorders or skin picking syndromes. In the latter, artificial manipulation rather than pruritus itself leads to the development of cutaneous lesions, which can show clinical similarities to linear prurigo.</p>},
  author       = {,  and Pereira, M. P. and Zeidler, C. and Nau, T. and Bobko, S. and Evers, A. W.M. and Garcovich, S. and Gonçalo, M. and Halvorsen, J. A. and Lambert, J. and Legat, F. J. and Leslie, T. and Metz, M. and Misery, L. and Nordlind, K. and Reich, A. and Schneider, G. and Ständer, H. and Streit, M. and Szepietowski, J. C. and Wallengren, J. and Weisshaar, E. and Ständer, S.},
  issn         = {0926-9959},
  language     = {eng},
  month        = {02},
  number       = {2},
  pages        = {263--266},
  publisher    = {Elsevier},
  series       = {Journal of the European Academy of Dermatology and Venereology},
  title        = {Position Statement : Linear prurigo is a subtype of chronic prurigo},
  url          = {http://dx.doi.org/10.1111/jdv.15275},
  volume       = {33},
  year         = {2019},
}