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Somatic and psychiatric comorbidity in patients with chronic pruritus.

Ferm, Ingela; Sterner, Magnus and Wallengren, Joanna LU (2010) In Acta Dermato-Venereologica 90(4). p.395-400
Abstract
It has been reported that 10-50% of patients with pruritus but no skin rash have an underlying systemic disease and up to 70% a psychiatric one. The aim of this retrospective study was to review the records of a large number of patients with chronic pruritus for concomitant diseases and treatment options. Medical records of 139 patients (52 males, 87 females) with chronic pruritus who visited the outpatient dermatological clinic during a 17-month period were reviewed. Itch was the presenting symptom in 6 of 47 patients with systemic disease and in 17 of 31 patients with psychiatric disease. Twenty-four patients had neuropathic itch and 37 patients had pruritus of unknown origin. The most severe and long-lasting itch was found in patients... (More)
It has been reported that 10-50% of patients with pruritus but no skin rash have an underlying systemic disease and up to 70% a psychiatric one. The aim of this retrospective study was to review the records of a large number of patients with chronic pruritus for concomitant diseases and treatment options. Medical records of 139 patients (52 males, 87 females) with chronic pruritus who visited the outpatient dermatological clinic during a 17-month period were reviewed. Itch was the presenting symptom in 6 of 47 patients with systemic disease and in 17 of 31 patients with psychiatric disease. Twenty-four patients had neuropathic itch and 37 patients had pruritus of unknown origin. The most severe and long-lasting itch was found in patients with multiple systemic diseases and in those with pruritus of unknown origin. Pruritus of the scalp and face was most common in psychogenic pruritus. Phototherapy was found to be a useful therapeutic option. In conclusion, systemic diseases are unlikely to cause chronic pruritus in patients consulting a dermatology department. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Acta Dermato-Venereologica
volume
90
issue
4
pages
395 - 400
publisher
Medical Journals Limited
external identifiers
  • wos:000280296100011
  • pmid:20574605
  • scopus:77954902676
ISSN
1651-2057
DOI
10.2340/00015555-0864
language
English
LU publication?
yes
id
1b418a94-2ac6-49f5-98d7-3c0f25051b94 (old id 1625750)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20574605?dopt=Abstract
date added to LUP
2010-07-05 21:04:35
date last changed
2017-10-01 05:02:30
@article{1b418a94-2ac6-49f5-98d7-3c0f25051b94,
  abstract     = {It has been reported that 10-50% of patients with pruritus but no skin rash have an underlying systemic disease and up to 70% a psychiatric one. The aim of this retrospective study was to review the records of a large number of patients with chronic pruritus for concomitant diseases and treatment options. Medical records of 139 patients (52 males, 87 females) with chronic pruritus who visited the outpatient dermatological clinic during a 17-month period were reviewed. Itch was the presenting symptom in 6 of 47 patients with systemic disease and in 17 of 31 patients with psychiatric disease. Twenty-four patients had neuropathic itch and 37 patients had pruritus of unknown origin. The most severe and long-lasting itch was found in patients with multiple systemic diseases and in those with pruritus of unknown origin. Pruritus of the scalp and face was most common in psychogenic pruritus. Phototherapy was found to be a useful therapeutic option. In conclusion, systemic diseases are unlikely to cause chronic pruritus in patients consulting a dermatology department.},
  author       = {Ferm, Ingela and Sterner, Magnus and Wallengren, Joanna},
  issn         = {1651-2057},
  language     = {eng},
  number       = {4},
  pages        = {395--400},
  publisher    = {Medical Journals Limited},
  series       = {Acta Dermato-Venereologica},
  title        = {Somatic and psychiatric comorbidity in patients with chronic pruritus.},
  url          = {http://dx.doi.org/10.2340/00015555-0864},
  volume       = {90},
  year         = {2010},
}