Pruritus in the elderly - a guide to assessment and management

Pruritus is the most common skin complaint in patients over the age of 65 years. These patients are in a unique population group that will require a comprehensive clinical approach. The symptoms of pruritus can be potentially debilitating and can have a significant impact on elderly patients by impairing their quality of life.

This article discusses the assessment and management of pruritus, with a specific focus on the elderly population.

Pruritus in the elderly population remains both a diagnostic and therapeutic challenge. In the first instance, it has to be established whether the pruritus is arising from a primary dermatological condition or whether it is a manifestation of an underlying systemic disease. When a rash is present it could suggest an underlying primary dermatosis. Apart from lifestyle modifications, emollients, topical antipruritics (eg menthol 1% in aqueous cream), oral antihistamines, topical corticosteroids and phototherapy may prove useful.