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[Chronic prurigo].

M P Pereira1, T Nau2, C Zeidler2

  • 1Kompetenzzentrum Chronischer Pruritus (KCP), Klinik für Hautkrankheiten, Universitätsklinikum Münster, Von-Esmarch-Str. 58, 48149, Münster, Deutschland. manuelpedro.pereira@ukmuenster.de.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|March 24, 2018
PubMed
Summary
This summary is machine-generated.

Chronic prurigo involves persistent itching and itchy skin lesions, significantly impacting quality of life. Early diagnosis and treatment, including topical steroids and phototherapy, are recommended.

Keywords:
GuidelinePruritusQuality of lifeSensitizationTherapy

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Area of Science:

  • Dermatology
  • Clinical Medicine

Background:

  • Chronic prurigo is a debilitating skin condition characterized by intense itching and the development of hyperkeratotic lesions.
  • It significantly impairs patients' quality of life and can stem from various underlying causes, including dermatological, systemic, neurological, or psychosomatic factors.

Purpose of the Study:

  • To summarize the understanding of chronic prurigo, its origins, diagnostic approaches, and current treatment recommendations.

Main Methods:

  • Review of the clinical presentation and etiology of chronic prurigo.
  • Analysis of diagnostic strategies, emphasizing early and thorough evaluation.
  • Examination of treatment guidelines, including first-choice and alternative therapies.

Main Results:

  • Chronic prurigo presents with chronic pruritus and characteristic skin lesions (papules, nodules, plaques).
  • Effective management requires prompt diagnosis to identify underlying causes and initiate appropriate treatment.
  • Topical corticosteroids and phototherapy are recommended as first-line treatments.

Conclusions:

  • Chronic prurigo necessitates a comprehensive diagnostic approach to identify its diverse origins.
  • Timely intervention with recommended therapies can help manage symptoms and improve patient outcomes.
  • Alternative treatments such as topical pimecrolimus, capsaicin, systemic antihistamines, anticonvulsants, and immunosuppressants offer further management options.