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Recent medication changes that are suspected of causing pruritus should be rationalised. If response to the measures listed above is not satisfactory then a stepwise treatment approach can be trialled. Regular use of emollients is the mainstay of treatment in pruritus, aiming to ensure optimal skin hydration and preventing the itch-scratch cycle.

Emollients enhance the skin barrier function, preventing transepidermal water loss and entry of irritants. Topical corticosteroids can prove effective in managing pruritus, especially when related to an underlying inflammatory or immunological condition. Topical corticosteroids are thought to be effective secondary to their anti-inflammatory properties. In some patients phototherapy may be useful. When all of these options fail, a referral to a specialist for an opinion may be indicated.

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Pruritus (PDQ®)–Patient Version

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Changes in mood, depression and suicidal ideation after commencing pregabalin for neuropathic pain. Diagnostic difficulties in skin cancer detection within tattoos. A systematic review. The use of a global trigger tool to inform quality and safety in Australian general practice: a pilot study. Accuracy of general practitioner medication histories for patients presenting to the emergency department. Requests for permission to reprint articles must be sent to permissions racgp. The views expressed by the authors of articles in Australian Family Physician are their own and not necessarily those of the publisher or the editorial staff, and must not be quoted as such.

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Privacy Terms of use. Subscribe to the print edition. Back Issues Older back issues Indices Order back isues. Pruritus in the elderly — a guide to assessment and management Volume 43, No. Article Download article Download Citations. Niranthari Chinniah Monisha Gupta Background Pruritus is the most common skin complaint in patients over the age of 65 years.

Discussion Pruritus in the elderly population remains both a diagnostic and therapeutic challenge. Downloads Help with downloads. Opening or saving files Files on the website can be opened or downloaded and saved to your computer or device. MP3 Most web browsers will play the MP3 audio within the browser. No competing interests:. I declare the following competing interests:. Yes No. Confirm E-mail:. Add Another Author. Competing Interests:. Testing for gluten sensitivity.

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Interventions for pruritus of unknown cause | Cochrane

Pruritus in the elderly — a guide to assessment and management. Letters to the editor.

Clinical Challenge. Cholestasis from any cause including primary biliary cirrhosis sclerosing cholangitis viral hepatitis drug-induced cholestasis. Diuretics Lipid-lowering agents Angiotensin converting enzyme inhibitors Anticonvulsants Allopurinol. Polycythaemia vera Iron-deficiency anaemia Macroglobulinaemia. Hypothyroidism Hyperthyroidism Hyperparathyroidism. Stress, anxiety Depression Phobic disorders eg. Write down your signs and symptoms, when they occurred, and how long they lasted. Also, make a list of all medications, including vitamins, herbs and over-the-counter drugs, you're taking.

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This content does not have an English version. This content does not have an Arabic version. Diagnosis Tracking down the cause of your itch can take time and involve a physical exam and questions about your medical history. If your doctor thinks your itchy skin is the result of a medical condition, you might have tests, including: Blood test. A complete blood count can provide evidence of an internal condition causing your itch, such as iron deficiency.

Interventions for pruritus of unknown cause

Tests of thyroid, liver and kidney function. Liver or kidney disorders and thyroid abnormalities, such as hyperthyroidism, may cause itching. Chest X-rays. A chest X-ray can show if you have enlarged lymph nodes, which can go along with itchy skin. More Information Chest X-rays. Request an Appointment at Mayo Clinic.

What ingredient should you look for? Share on: Facebook Twitter. References Fazio SB, et al. Pruritis: Overview of management. Accessed Nov. Pruritus without rash. Rochester, Minn. Goldsmith LA, et al. Pathophysiology and clinical aspects of pruritus. In: Fitzpatrick's Dermatology in General Medicine. New York, N. Yosipovitch G, et al. Chronic pruritis.

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