Pruritus ani

Causes

1. Anorectal disease
2. Poor hygiene
3. Local infection
   1. Pinworms, strep
4. Local irritants
5. Dermatologic conditions
6. Systemic illness
7. Psychogenic factors

Associations

1. Fissures
2. Fistulas
3. Hemorrhoids
4. Prolapse

Clinical Features

• Skin appears normal with early, mild cases
• Acute, severe exacerbations a/w reddened, edematous, excoriated, skin

Treatment

1. Treat underlying cause
2. To avoid scratching at night pt can wear gloves at bedtime
3. Sitz baths 15min TID
4. Zinc oxide can provide protective covering for the skin and may enhance healing

See Also

• Anorectal Disorders

Source

Tintinalli