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Diseases of the Colon & Rectum

, Volume 33, Issue 9, pp 770–772 | Cite as

Treatment of intractable pruritus ani

  • Ernesto B. Eusebio
  • James Graham
  • Nat Mody
Original Contributions

Abstract

The majority of patients with idiopathic pruritus ani respond favorably to conservative treatment. Moreover, response to specific medical therapy is almost always favorable in certain dermatologic diseases such as psoriasis, mycotic dermatitis, and contact dermatitis. When surgery is performed for anorectal disorders such as hemorrhoids and fistulas, or potentially malignant entities such as extramammary Paget's disease, the accompanying pruritus ani invariably improves as well. Only patients with chronic intractable pruritus ani are included in the current study. Methylene blue (methylthionine chloride) 0.5 percent is injected intracutaneously on the anodermal and perianal skin. With one treatment, long-term cure has been observed.

Key words

Chronic intractable pruritus ani Recalcitrant anal itch methylene blue infernal anal itch anal tattooing 

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References

  1. 1.
    Rygick AN. Atlas of the operations on the rectum and colon. Moscow: Meduch Posovie, 1968:162.Google Scholar
  2. 2.
    Wolloch Y, Dintsman M. A simple and effective method of treatment for intractable pruritus ani. Am J Proctol Gastroenterol Colon Rectal Surg 1979;30:34–6.Google Scholar
  3. 3.
    Alexander-Williams J. Pruritus ani—what to do, what not to do to control this infernal itch. Postgrad Med 1985;77:56–65.Google Scholar

Copyright information

© American Society of Colon and Rectal Surgeons 1990

Authors and Affiliations

  • Ernesto B. Eusebio
    • 1
  • James Graham
    • 1
  • Nat Mody
    • 1
  1. 1.Department of SurgerySouthern Illinois University School of Medicine, Springfield ClinicSpringfield

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