[Recommended diagnostics for pruritus affecting primary non-lesional skin]. / Empfohlene Diagnostik bei Pruritus auf primär unveränderter Haut.
Dermatologie (Heidelb)
; 75(8): 597-605, 2024 Aug.
Article
en De
| MEDLINE
| ID: mdl-38940941
ABSTRACT
BACKGROUND:
Chronic pruritus affecting primary non-lesional skin (CPNL) manifests as a common symptom across a spectrum of diseases spanning various medical specialties. Given the diverse etiological factors involved, diagnosing the underlying condition poses a significant challenge.OBJECTIVES:
To provide a comprehensive overview of clinical, laboratory, and imaging diagnostics for CPNL. MATERIALS ANDMETHODS:
A thorough literature search on the diagnostics of chronic pruritus was conducted using PubMed with specific keywords "chronic pruritus AND non-lesional skin", "chronic itch AND non-lesional skin", "chronic pruritus AND diagnostics", "chronic itch AND diagnostics", "CKD-aP", "hepatic pruritus", "cholestatic pruritus", and "myeloproliferative neoplasms AND pruritus".RESULTS:
A systematic diagnostic approach is recommended for patients with CPNL, guided by the prevalence of pruritus-associated diseases. Initial basic diagnostics facilitate a cost-effective and focused evaluation during the initial medical assessment. Information pertaining to underlying diseases can be further refined through specialized diagnostic procedures.CONCLUSIONS:
CPNL often presents a diagnostic dilemma. Adopting a stepwise diagnostic strategy facilitates the identification of underlying etiologies, which is crucial for recognizing diseases and administering pruritus-specific pharmacotherapy.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Prurito
Límite:
Humans
Idioma:
De
Revista:
Dermatologie (Heidelb)
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Alemania