Pruritus - Revision history

Danbot: Add verified PubMed reference (PMID 38809527)

2026-03-22T10:53:19Z

Add verified PubMed reference (PMID 38809527)

← Older revision		Revision as of 10:53, 22 March 2026
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	==Background==		==Background==
	{{Skin anatomy background images}}		{{Skin anatomy background images}}
	*Pruritus (itchiness) is a common ED complaint that may represent a benign dermatologic condition or a systemic disease		*Pruritus (itchiness) is a common ED complaint that may represent a benign dermatologic condition or a systemic disease<ref>Butler DC, et al. Chronic Pruritus: A Review. JAMA. 2024 Jun 25;331(24):2114-2124. PMID 38809527</ref>
	*Can be localized or generalized		*Can be localized or generalized
	*Generalized pruritus without rash warrants consideration of systemic causes (renal, hepatic, hematologic, endocrine, malignancy)		*Generalized pruritus without rash warrants consideration of systemic causes (renal, hepatic, hematologic, endocrine, malignancy)

Danbot: Strip excess bold

2026-03-22T09:34:42Z

Strip excess bold

← Older revision		Revision as of 09:34, 22 March 2026
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	===Symptomatic Relief===		===Symptomatic Relief===
	*~~'''~~Antihistamines~~'''~~: [[diphenhydramine]], [[hydroxyzine]], or non-sedating ([[cetirizine]], [[loratadine]])		*Antihistamines: [[diphenhydramine]], [[hydroxyzine]], or non-sedating ([[cetirizine]], [[loratadine]])
	*~~'''~~[[Topical steroids]]~~'''~~: for localized inflammatory dermatoses (avoid on face/groin long-term)		*[[Topical steroids]]: for localized inflammatory dermatoses (avoid on face/groin long-term)
	*~~'''~~Calamine lotion~~'''~~ or cool compresses for temporary relief		*Calamine lotion or cool compresses for temporary relief
	*~~'''~~Oatmeal baths~~'''~~ for generalized pruritus		*Oatmeal baths for generalized pruritus

	===Condition-Specific===		===Condition-Specific===
	*~~'''~~[[Urticaria]]~~'''~~: H1 blocker ([[diphenhydramine]] or [[cetirizine]]); add H2 blocker ([[famotidine]]) for refractory; short course [[prednisone]] for severe		*[[Urticaria]]: H1 blocker ([[diphenhydramine]] or [[cetirizine]]); add H2 blocker ([[famotidine]]) for refractory; short course [[prednisone]] for severe
	*~~'''~~[[Scabies]]~~'''~~: permethrin 5% cream (applied neck down, left on 8-14 hours); treat all household contacts simultaneously		*[[Scabies]]: permethrin 5% cream (applied neck down, left on 8-14 hours); treat all household contacts simultaneously
	*~~'''~~[[Contact dermatitis]]~~'''~~: remove exposure, topical steroids, oral steroids for severe/widespread		*[[Contact dermatitis]]: remove exposure, topical steroids, oral steroids for severe/widespread
	*~~'''~~Uremic pruritus~~'''~~: nephrology consultation, gabapentin may help		*Uremic pruritus: nephrology consultation, gabapentin may help
	*'''Cholestatic pruritus''': cholestyramine, refer for biliary evaluation		*'''Cholestatic pruritus''': cholestyramine, refer for biliary evaluation

Danbot: Expanded with EM-focused content: dermatologic vs systemic causes, red flags, evaluation strategy, symptomatic management, disposition

2026-03-20T23:29:41Z

Expanded with EM-focused content: dermatologic vs systemic causes, red flags, evaluation strategy, symptomatic management, disposition

@@ Line 1: / Line 1: @@
 ==Background==
 {{Skin anatomy background images}}
-*i.e. itchiness
+*Pruritus (itchiness) is a common ED complaint that may represent a benign dermatologic condition or a systemic disease
 ==Clinical Features==
-*Excoriations
+===History===
 ==Differential Diagnosis==
 {{Puritus DDX}}
 ==Evaluation==
 ==Management==
-*Treat underlying condition
+===General===
-*[[Antihistamines]], [[topical steroids]] often helpful
+*Treat underlying condition when identified
 ==Disposition==
 ==See Also==
 *[[Rash]]
-*[[Pruritus ani]]
+*[[Urticaria]]
 *[[Allergic reaction]]
 ==External Links==

Rossdonaldson1 at 18:10, 11 December 2024

2024-12-11T18:10:58Z

← Older revision		Revision as of 18:10, 11 December 2024
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	==Background==		==Background==
			{{Skin anatomy background images}}
	*i.e. itchiness		*i.e. itchiness

Rossdonaldson1: /* [Pruritus] */

2020-09-09T23:01:45Z

[Pruritus]

@@ Line 6: / Line 6: @@
 ==Differential Diagnosis==
-===[Pruritus]===
+{{Puritus DDX}}
 ==Evaluation==

Rossdonaldson1: /* Differential Diagnosis */

2020-09-09T23:01:02Z

Differential Diagnosis

← Older revision		Revision as of 23:01, 9 September 2020
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	==Differential Diagnosis==		==Differential Diagnosis==
	===Dermatologic/Immunologic Disorders===		===[Pruritus]===
			====Dermatologic/Immunologic Disorders====
	*Xerosis		*Xerosis
	*[[Atopic dermatitis]]		*[[Atopic dermatitis]]
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	*[[Blister chemical agents]]		*[[Blister chemical agents]]

	===Infection, Infection-associated, and Other Critters===		====Infection, Infection-associated, and Other Critters====
	*[[Varicella]]		*[[Varicella]]
	*[[Pityriasis rosea]], [[Erythema infectiosum]]		*[[Pityriasis rosea]], [[Erythema infectiosum]]
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	**[[Hymenoptera stings]]		**[[Hymenoptera stings]]

	===Systemic Conditions===		====Systemic Conditions====
	*[[Uremia]]		*[[Uremia]]
	*[[Hyperbilirubinemia]]/cholestasis		*[[Hyperbilirubinemia]]/cholestasis

Rossdonaldson1: /* Clinical Features */

2020-09-09T23:00:32Z

Clinical Features

← Older revision		Revision as of 23:00, 9 September 2020
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	==Clinical Features==		==Clinical Features==
			*Excoriations

	==Differential Diagnosis==		==Differential Diagnosis==

ClaireLewis: /* References */

2016-10-29T16:50:42Z

References

← Older revision		Revision as of 16:50, 29 October 2016
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	[[Category:Dermatology]]		[[Category:Dermatology]]
	[[Category:~~ChiefComplaint~~]]		[[Category:Symptoms]]

ClaireLewis: /* References */

2016-10-29T16:47:48Z

References

← Older revision		Revision as of 16:47, 29 October 2016
Line 57:		Line 57:
	==References==		==References==
	<references/>		<references/>

			[[Category:Dermatology]]
			[[Category:ChiefComplaint]]

ClaireLewis: Created page with "==Background== i.e. itchiness ==Clinical Features== ==Differential Diagnosis== ===Dermatologic/Immunologic Disorders=== Xerosis Atopic dermatitis Allergic reaction..."

2016-10-04T22:40:21Z

Created page with "==Background== *i.e. itchiness ==Clinical Features== ==Differential Diagnosis== ===Dermatologic/Immunologic Disorders=== *Xerosis *Atopic dermatitis *Allergic reaction..."

New page

==Background==
*i.e. itchiness

==Clinical Features==

==Differential Diagnosis==
===Dermatologic/Immunologic Disorders===
*Xerosis
*[[Atopic dermatitis]]
*[[Allergic reaction]]
**[[Contact dermatitis]]
**[[Poison Oak, Ivy, Sumac dermatitis]]
**[[Allergic conjunctivitis]]
*[[Bullous pemphigoid]]
*[[Exfoliative erythroderma]]
*[[Miliaria (Heat Rash)]]
*[[Lichen sclerosus]]
*[[Blister chemical agents]]

===Infection, Infection-associated, and Other Critters===
*[[Varicella]]
*[[Pityriasis rosea]], [[Erythema infectiosum]]
*[[Pruritic papular eruption of HIV]]
*[[Candida vulvovaginitis]], [[Candida dermatitis]]
*[[Tinea]]
*[[Cercarial dermatitis]]
*[[Scabies]], [[Lice]], [[Bed bugs]]
*[[Herpes simplex]]
*[[Condyloma acuminata]]
*[[Strongyloides stercoralis]], [[Enterobius]], [[Fasciola hepatica]], [[Loa loa]], [[Dracunculiasis]]
**[[Hymenoptera stings]]

===Systemic Conditions===
*[[Uremia]]
*[[Hyperbilirubinemia]]/cholestasis
*[[Hepatitis C]]
*[[Leukemia]], [[Lymphoma]]
*[[Polycythemia vera]]
*Medication or drug of abuse adverse effect
*Psychiatric/psychogenic

==Evaluation==

==Management==
*Treat underlying condition
*[[Antihistamines]], [[topical steroids]] often helpful

==Disposition==

==See Also==
*[[Rash]]
*[[Pruritus ani]]
*[[Allergic reaction]]

==External Links==

==References==
<references/>

Pruritus - Revision history

Danbot: Add verified PubMed reference (PMID 38809527)

Danbot: Strip excess bold

Danbot: Expanded with EM-focused content: dermatologic vs systemic causes, red flags, evaluation strategy, symptomatic management, disposition

Rossdonaldson1 at 18:10, 11 December 2024

Rossdonaldson1: /* [Pruritus] */

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1: /* Clinical Features */

ClaireLewis: /* References */

ClaireLewis: /* References */

ClaireLewis: Created page with "==Background== *i.e. itchiness ==Clinical Features== ==Differential Diagnosis== ===Dermatologic/Immunologic Disorders=== *Xerosis *Atopic dermatitis *Allergic reaction..."

ClaireLewis: Created page with "==Background== i.e. itchiness ==Clinical Features== ==Differential Diagnosis== ===Dermatologic/Immunologic Disorders=== Xerosis Atopic dermatitis Allergic reaction..."