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Washcloth Withdrawal and Pruritus: A Single-Center Retrospective Observational Study.
Hajime Miyazawa1,2, Ken Natsuga2, Takashi Seo1,2
1Department of Dermatology, Obihiro Kosei General Hospital, Obihiro, Japan.
The Journal of Dermatology
|February 9, 2026
Summary
Discontinuing washcloth use during bathing may significantly reduce chronic pruritus (itch). This simple, non-invasive change could be a practical management strategy for patients experiencing persistent itching.
Area of Science:
- Dermatology
- Clinical Medicine
Background:
- Chronic pruritus is a prevalent and challenging condition.
- The role of washcloths in bathing and their impact on pruritus is not well understood.
Purpose of the Study:
- To investigate the association between washcloth use during bathing and pruritus severity.
- To evaluate if discontinuing washcloth use impacts pruritus scores.
Main Methods:
- A single-center retrospective observational study.
- Included 79 patients with diverse skin diseases who used washcloths.
- Pruritus severity was assessed using the Numerical Rating Scale (NRS) before and after washcloth withdrawal.
Main Results:
- Patients who discontinued washcloth use showed a significant decrease in mean NRS scores (4.89 to 1.90, p < 0.0001).
- Patients who continued using washcloths experienced no significant change in pruritus scores (3.86 to 3.60, p > 0.9999).
Conclusions:
- Discontinuing washcloth use may be linked to reduced pruritus.
- This represents a potential practical, low-cost, non-invasive intervention for pruritus management.
- Further prospective studies are warranted to confirm these findings.
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