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Clinical classification of itch: a position paper of the international forum for the study of itch

Staender, Sonja; Weisshaar, Elke; Mettang, Thomas; Szepietowski, Jacek C.; Carstens, Earl; Ikoma, Akihiko; Bergasa, Nora V.; Gieler, Uwe; Misery, Laurent and Wallengren, Joanna LU , et al. (2007) In Acta Dermato-Venereologica 87(4). p.291-294
Abstract
Chronic itch is a common and distressing symptom that arises from a variety of skin conditions and systemic diseases. Despite this, there is no clinically based classification of pruritic diseases to assist in the diagnosis and cost-effective medical care of patients with pruritus. The proposed classification focuses on clinical signs and distinguishes between diseases with and without primary or secondary skin lesions. Three groups of conditions are proposed: pruritus on diseased (inflamed) skin (group I), pruritus on non-diseased (non-inflamed) skin (group II), and pruritus presenting with severe chronic secondary scratch lesions, such as prurigo nodularis (group III). The next part classifies the underlying diseases according to... (More)
Chronic itch is a common and distressing symptom that arises from a variety of skin conditions and systemic diseases. Despite this, there is no clinically based classification of pruritic diseases to assist in the diagnosis and cost-effective medical care of patients with pruritus. The proposed classification focuses on clinical signs and distinguishes between diseases with and without primary or secondary skin lesions. Three groups of conditions are proposed: pruritus on diseased (inflamed) skin (group I), pruritus on non-diseased (non-inflamed) skin (group II), and pruritus presenting with severe chronic secondary scratch lesions, such as prurigo nodularis (group III). The next part classifies the underlying diseases according to different categories: dermatological diseases, systemic diseases including diseases of pregnancy and drug-induced pruritus, neurological and psychiatric diseases. In some patients more than one cause may account for pruritus (category "mixed") while in others no underlying disease can be identified (category "others"). This is the first version of a clinical classification worked out by the members of the International Forum for the Study of Itch. It is intended to serve as a diagnostic route for better evaluation of patients with chronic pruritus and aims to improve patients' care. (Less)
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
prurigo, diagnosis, classification, itch, pruritus
in
Acta Dermato-Venereologica
volume
87
issue
4
pages
291 - 294
publisher
Medical Journals Limited
external identifiers
  • wos:000248226800002
  • scopus:35348913148
ISSN
1651-2057
DOI
10.2340/00015555-0305
language
English
LU publication?
yes
id
e5718671-7dd3-4d1b-b575-7bfbdf9cc663 (old id 692997)
date added to LUP
2008-01-03 08:43:32
date last changed
2017-11-05 04:38:46
@article{e5718671-7dd3-4d1b-b575-7bfbdf9cc663,
  abstract     = {Chronic itch is a common and distressing symptom that arises from a variety of skin conditions and systemic diseases. Despite this, there is no clinically based classification of pruritic diseases to assist in the diagnosis and cost-effective medical care of patients with pruritus. The proposed classification focuses on clinical signs and distinguishes between diseases with and without primary or secondary skin lesions. Three groups of conditions are proposed: pruritus on diseased (inflamed) skin (group I), pruritus on non-diseased (non-inflamed) skin (group II), and pruritus presenting with severe chronic secondary scratch lesions, such as prurigo nodularis (group III). The next part classifies the underlying diseases according to different categories: dermatological diseases, systemic diseases including diseases of pregnancy and drug-induced pruritus, neurological and psychiatric diseases. In some patients more than one cause may account for pruritus (category "mixed") while in others no underlying disease can be identified (category "others"). This is the first version of a clinical classification worked out by the members of the International Forum for the Study of Itch. It is intended to serve as a diagnostic route for better evaluation of patients with chronic pruritus and aims to improve patients' care.},
  author       = {Staender, Sonja and Weisshaar, Elke and Mettang, Thomas and Szepietowski, Jacek C. and Carstens, Earl and Ikoma, Akihiko and Bergasa, Nora V. and Gieler, Uwe and Misery, Laurent and Wallengren, Joanna and Darsow, Ulf and Streit, Markus and Metze, Dieter and Luger, Thomas A. and Greaves, Malcolm W. and Schmelz, Martin and Yosipovitch, Gil and Bernhard, Jeffrey D.},
  issn         = {1651-2057},
  keyword      = {prurigo,diagnosis,classification,itch,pruritus},
  language     = {eng},
  number       = {4},
  pages        = {291--294},
  publisher    = {Medical Journals Limited},
  series       = {Acta Dermato-Venereologica},
  title        = {Clinical classification of itch: a position paper of the international forum for the study of itch},
  url          = {http://dx.doi.org/10.2340/00015555-0305},
  volume       = {87},
  year         = {2007},
}