বৃহস্পতিবার, ২ ফেব্রুয়ারী, ২০১২


PRURITUS ( ITCHING )
Definition:
Pruritus may be defined as the unpleasant sensation which produces the desire to scratch.    It may be localized or generalized.
Causes of pruritus:
      A. Dermatological disorders.
      B. Systemic diseases.
      C. Psychogenic pruritus.
      D. Iatrogenic pruritus.
E. Idiopathic.    
 A. Dermatological pruritus.
Ü Scabies
Ü Pediculosis
Ü Insect bites
Ü Eczema
Ü Urticaria
Ü Prickly heat
Ü Lichen planus
Ü Dermatitis herpetiformis
Ü Dermatophytosis
 B.  Systemic diseases:
*   1. ENDOCRINE -- diabetes mellitus,             hyperthyroidism, hypothyroidism.          
*   2. HEPATIC -- intrahepatic and extrahepatic      biliary obstruction ( cholestasis).
*   3. RENAL --chronic renal insufficiency.
  
 B.  Systemic diseases:
*4. HEMATOLOGICAL – iron deficiency       anemia, polycythemia, leukemia, mycosis     fungoides.
*
*5. INTESTINAL PARASITES – Infestation      with hookworm, roundworm, pinworm.
*6. COLLAGEN  VASCULAR  DIASES  - SLE.
*7. NEUROLOGICAL – multiple sclerosis,             brain tumor.
*8. PREGNANCY.  
*
C. Psychogenic pruritus:
Parasitophobia, LSC, anorexia nervosa.
D. Iatrogenic pruritus:
Opium alkaloids, CNS stimulants, antidepressants.
E. Idiopathic:
Itching more than 2 to 6 weeks with no determined cause.  

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