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Pruritus pp 123-126 | Cite as

Clinical Presentation of Itch

  • Asit MittalEmail author
  • Sonja Ständer
Chapter

Abstract

In terms of skin examinations, pruritus can present in different ways to clinicians. It can present on normal skin (IFSI classification group II) or together with dermatoses (IFSI classification group I) including dry skin (xerosis), a common cause of pruritus. Sometimes, the presentation of pruritus involves chronic scratch lesions (IFSI classification group III) such as lichen simplex chronicus prurigo nodularis. Localized pruritus, a component of dysesthesia, is often observed in neurologic and neuropathic disorders. The clinical presentation may, however, not reveal much about the etiology of the pruritus, as even dermatological diseases can present with itch on (almost) normal skin.

Keywords

Itch Pruritus Clinical presentation Scratch lesion Diseased/normal skin IFSI classification 

References

  1. 1.
    Stander S, Weissharr E, Meltang T, et al. Clinical classification of itch. A position paper of international forum for study of itch. Acta Derm Venereol. 2007;87:291–4.CrossRefPubMedGoogle Scholar
  2. 2.
    Bakker CV, Terra JB, Pas HH, Jonkman MF. Bullous pemphigoid as pruritus in the elderly: a common presentation. JAMA Dermatol. 2013;149:950–3.CrossRefPubMedGoogle Scholar
  3. 3.
    Lee MR, Shumack S. Prurigonodularis: a review. Australas J Dermatol. 2005;46:211–8.CrossRefPubMedGoogle Scholar
  4. 4.
    Schneider G, Hockmann J, Stander S, Luger TA, Heuft G. Psychological factors in prurigo nodularis in comparison with Psoriasis vulgaris: result of a case control study. Br J Dermatol. 2006;154:61–6.CrossRefPubMedGoogle Scholar
  5. 5.
    Weyers W, Weyers I, Bonezkowtiz M, Diaz-Cascajo C, Schill WB. Lichen amylodosis: a consequence of scratching. J Am Acad Dermatol. 1997;37:923–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Rapini RP, Herbert AA, Drucker CR. Acquired perforating dermatosis. Arch Dermatol. 1989;125:1074–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2016

Authors and Affiliations

  1. 1.Department of DermatologyR.N.T. Medical College and attached HospitalsUdaipurIndia
  2. 2.Center for Chronic Pruritus (KCP), Department of DermatologyUniversity Hospital MünsterMünsterGermany

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