Pruritus ani: Difference between revisions
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==Background== | ==Background== | ||
===Causes=== | ===Causes=== | ||
*[[anorectal disorders|Anorectal disease]] | |||
*Poor hygiene | |||
*Local infection | |||
**[[Pinworm]]s, [[perianal strep|strep]] | |||
*Local irritants | |||
*Dermatologic conditions | |||
*Systemic illness | |||
*Psychogenic factors | |||
===Associations=== | ===Associations=== | ||
*[[Anal Fissure]] | |||
*[[Anal Fistula]] | |||
*[[Hemorrhoids]] | |||
*[[Rectal Prolapse]] | |||
==Clinical Features== | ==Clinical Features== | ||
*Skin appears normal with early, mild cases | *Skin appears normal with early, mild cases | ||
*Acute, severe exacerbations | *Acute, severe exacerbations associated with reddened, edematous, excoriated, skin | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Latest revision as of 23:55, 29 September 2019
Background
Causes
- Anorectal disease
- Poor hygiene
- Local infection
- Local irritants
- Dermatologic conditions
- Systemic illness
- Psychogenic factors
Associations
Clinical Features
- Skin appears normal with early, mild cases
- Acute, severe exacerbations associated with reddened, edematous, excoriated, skin
Differential Diagnosis
Anorectal Disorders
- Anal fissure
- Anal fistula
- Anal malignancy
- Anal tags
- Anorectal abscess
- Coccydynia
- Colorectal malignancy
- Condyloma acuminata
- Constipation
- Crohn's disease
- Cryptitis
- GC/Chlamydia
- Fecal impaction
- Hemorrhoids
- Levator ani syndrome
- Pedunculated polyp
- Pilonidal cyst
- Proctalgia fugax
- Proctitis
- Pruritus ani
- Enterobius (pinworms)
- Rectal foreign body
- Rectal prolapse
- Syphilitic fissure
Non-GI Look-a-Likes
Management
- Treat underlying cause
- To avoid scratching at night patient can wear gloves at bedtime
- Sitz baths 15min TID
- Zinc oxide can provide protective covering for the skin and may enhance healing