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Pruritus in systemic disease: mechanisms and management
Lawrence Etter1, Sarah A Myers
1Division of Dermatology, Center for Aesthetic Services, Duke University Medical Center, 1300 Morreene Road, Durham, NC 27705, USA.
Abstract:
Pruritus is the most common symptom of skin disease. Even in the absence of primary cutaneous findings, severe and extensive pruritus often is associated with systemic disease. This review considers briefly the physiology of pruritus and discusses the various systemic diseases often accompanied by this bothersome symptom. In addition to exploring the possible mechanisms and potential therapies of itching in selected disorders, this review presents general recommendations for evaluating patients with unexplained pruritus and management guidelines for alleviating their discomfort.
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