No Pruritus: Causes & Reasons

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Possible Causes for No Pruritus

Peeling Skin Syndrome Type 3

Treatment No effective treatment has been reported, especially for pruritus. Emollients are often used to reduce skin peeling. [retkebolesti.com]

Management and treatment No effective treatment has been reported, especially for pruritus. Emollients are often used to reduce skin peeling. [orpha.net]

It is clinically manifested by erythema and pruritus due to release of histamine and other inflammatory mediators. [dermatologyadvisor.com]

Vulvitis

Links: specific infections secondary vulvitis vulval sensitivity dermatitis diagnosis Bartholin's abscess pruritus vulvae [gpnotebook.co.uk]

The most commonly reported symptoms are irritation, pruritus and pain. [symptoma.com]

[…] barrier is reduced in cases of vulval atrophy or degeneration resulting from: the low oestrogen levels after the menopause vulval dysplasia Many of these conditions result in pruritus [gpnotebook.co.uk]

Vaginal Candidiasis

RESULTS: Of the 464 women examined, 177 (38.1%) had abnormal vaginal discharge, 68(14.7%) had genital ulcers, 272 (58.6%) had genital pruritus, 18 (3.9%) had genital warts [ncbi.nlm.nih.gov]

Presence of Candida vaginitis was based upon the specification as such by investigators, the presence of specific symptoms such as genital pruritus and/or the prescription [ncbi.nlm.nih.gov]

Pruritus was the most common symptom (85.9%), followed by vaginal discharge (66.1%), soreness (31.1%) and dyspareunia (5.0%). [ncbi.nlm.nih.gov]

Dermatitis

Symptoms and Signs Symptoms of exfoliative dermatitis include pruritus, malaise, and chills. [merckmanuals.com]

(possibly due to histamine released during inflammation) Erosions and possibly oozing, crusting, and secondary infection, all resulting from pruritus-induced scratching The [merckmanuals.com]

Symptoms include pruritus, widespread erythema, and epidermal sloughing. Diagnosis is clinical. [merckmanuals.com]

Atopic Dermatitis

Pruritus was graded on a 4-point scale of none (0) to severe (3). [ncbi.nlm.nih.gov]

Pruritus causes significant impairment in the quality of life of patients suffering from atopic dermatitis. [ncbi.nlm.nih.gov]

[…] been used in clinic to relieve pruritus of atopic dermatitis patients. [doi.org]

Vaginitis

Vaginal discharge, sometimes bloody, and pruritus are the most common symptoms. [ncbi.nlm.nih.gov]

Discharge due to vaginitis is accompanied by pruritus, erythema, and sometimes burning, pain, or mild bleeding. Pruritus may interfere with sleep. [merckmanuals.com]

CASE REPORT: A 48-year-old postmenopausal woman, with a history of hysterectomy with several comorbidities, presented with a 4-month history of bloody discharge and vulvar pruritus [ncbi.nlm.nih.gov]

Hemorrhoids

Table 7 Distribution of pruritus ani stages in 317 patients with pruritus ani and comparison of pruritus ani stages in 155 patients with exclusive pruritus ani vs.162 patients [ncbi.nlm.nih.gov]

Pruritus ani: a practical approach. Surg Clin North Am. 1978; 58 :505–512. [ PubMed ] [ Google Scholar ] 84. Daniel GL, Longo WE, Vernava AM 3rd. Pruritus ani. [ncbi.nlm.nih.gov]

PRURITUS ANI Pruritus ani is a symptom complex, not a disease. It is a common but socially embarrassing condition. [dx.doi.org]

Cholestatic Jaundice

Pruritus is the least in the morning as pruritus factor is stored in gallbladder overnight during the morning. [ncbi.nlm.nih.gov]

Medical Management Pruritus In cases of obstructive physiology, pruritus is relieved within 24 to 48 hours of biliary decompression. For other cases. [ncbi.nlm.nih.gov]

Prominent features of cholestasis are pruritus and malabsorption of fat and fat-soluble vitamins. [ncbi.nlm.nih.gov]

Contact Dermatitis

Ignoring other conditions can prolong pruritus unnecessarily. [ncbi.nlm.nih.gov]

We describe two cases of acute-onset erythema, peeling, and pruritus or tenderness isolated to the palmar surface of the hands. [ncbi.nlm.nih.gov]

Genital ACD can present acutely with erythematous erosions and pruritus or chronically with lichenification. [ncbi.nlm.nih.gov]

Intertrigo

The use of Honey barrier creams have also proven to be efficacious in relieving pruritus in intertrigo. [symptoma.com]

[…] scroti L29.2 Pruritus vulvae L29.3 Anogenital pruritus, unspecified L29.9 Pruritus, unspecified L30 Other and unspecified dermatitis L30.0 Nummular dermatitis L30.1 Dyshidrosis [icd10data.com]

Bacterial infections may either be opportunistic or invading pyogenic bacteria which may cause pruritus, pustules or abscess. [symptoma.com]

Familial Hypercholanemia

Affiliated tissues include liver, and related phenotypes are pruritus and failure to thrive [malacards.org]

Increased serum bile acid concentration Vitamin K deficiency Abnormality of the abdomen Steatorrhea Abnormality of the digestive system Steatorrhea Abnormality of the integument Pruritus [familydiagnosis.com]

Pruritus occurs less frequently than in the other types of PFIC and is usually mild. Jaundice may be less prominent than pruritus. [intechopen.com]

Pityriasis Circinata

Except for mild pruritus, pityriasis rosea is asymptomatic. [amboss.com]

Most children do not experience intense pruritus (Fig. 84.3) [62]. [plasticsurgerykey.com]

The peak incidence that we saw in April and May has been described in the literature. 6 Pruritus has been reported in 25% to 94% of patients. 6, 7 Our finding of pruritus [jamanetwork.com]

Cholangitis

Pruritus was the most common adverse event; 15% (OCA 10 mg) and 38% (OCA 50 mg) discontinued due to pruritus. [ncbi.nlm.nih.gov]

A comprehensive article on pruritus is as follows: "Pruritus" (American Family Physician). [psc-literature.org]

Pruritus associated with total lack of intestinal bile salts is managed by methyl-testosterone or norethandrolone, though the jaundice increases. [ncbi.nlm.nih.gov]

Atrophic Vaginitis

Clinical findings Pruritus ± burning sensation, reduced vaginal secretions, dyspareunia, post-coital bleeding, ±bacterial infection. [medical-dictionary.thefreedictionary.com]

Discharge due to vaginitis is accompanied by pruritus, erythema, and sometimes burning, pain, or mild bleeding. Pruritus may interfere with sleep. [merckmanuals.com]

Vaginal or vulval dryness Vaginal or vulval itching ( pruritus vulvae ) Vaginal burning Painful sex ( dyspareunia ) Skin splitting (fissuring) of the entrance to the vagina [dermnetnz.org]

Extramammary Paget Disease

Here, we report a 76-year-old man presented with pruritus in the perianal area. [ncbi.nlm.nih.gov]

Published: 03/09/2012 Authors: van der Schoot JHF and Roumen RM A 72-year-old man presented with a solitary eczematous perianal lesion causing a painful pruritus. [bjs.co.uk]

Pruritus is the most frequent complaint followed by a burning sensation. [alliedacademies.org]

Pruritic Urticarial Papules and Plaques of Pregnancy

Moderate or intense pruritus was present in all but one case. [ncbi.nlm.nih.gov]

Although pruritus was the major complaint of all patients, excoriations were very rare. [ncbi.nlm.nih.gov]

Undetermined-- Localisation Trunk / abdomen Primary Lesions Papule / erythematous Plaque / erythematous Pathophysiology pregnancy-related dermatoses urticaria Symptoms Pruritus [dermquest.com]

Tinea Pedis

Improvements in patient quality of life (pruritus) and patient preference were measured using the pruritus visual analog scale (VAS), Skindex-16, and patient preference questionnaires [ncbi.nlm.nih.gov]

The pruritus visual analog scale (VAS) was used to assess the subjective symptom of itching. [ncbi.nlm.nih.gov]

Patients showed rapid improvement in pruritus as early as week 2, and at six weeks' follow up, all patients were free of erythema while 93.8 percent were free of pruritus; [ncbi.nlm.nih.gov]

Cholestasis

Intractable pruritus of cholestasis leads to significant morbidity. [ncbi.nlm.nih.gov]

Abstract Accumulation of bile acids can lead to invalidating pruritus in cholestatic patients. [ncbi.nlm.nih.gov]

Pruritus One very common clinical consequence of cholestasis is pruritus. [emedicine.com]

Viral Exanthem

Symptomatic relief of the pruritus would be adequate. [ncbi.nlm.nih.gov]

Last Update: 2017-04-26 Usage Frequency: 1 Quality: Reference: IATE Danish Almindelig: Eksantem, erytem, pruritus. English Common: Exanthema, erythema, pruritus. [mymemory.translated.net]

[…] fever, swine vesicular disease and vesicular exanthema, and for # months from vesicular stomatitis, and] en Allergic skin reactions (e. g. dermatitis, urticaria, exanthema), pruritus [sk.glosbe.com]

Primary Sclerosing Cholangitis

Jaundice and pruritus. Right upper quadrant abdominal pain. Fatigue, weight loss, fevers and sweats. [patient.info]

A comprehensive article on pruritus is as follows: "Pruritus" (American Family Physician). [psc-literature.org]

Primary sclerosing cholangitis (PSC) is a chronic inflammatory disease of bile ducts..Patients with PSC usually presents with fatigue, jaundice and pruritus. [ncbi.nlm.nih.gov]

Secondary Sclerosing Cholangitis

[…] weeks primigravida was referred from the Emergency Department to the Medical Unit Khyber Teaching Hospital-MTI, Peshawar with four weeks of fever, progressive jaundice, pruritus [jamc.ayubmed.edu.pk]

Later presentation includes abdominal pain, jaundice, pruritus, fever and bacterial cholangitis from ascending infection. [orpha.net]

Urticaria

Pruritus is a common symptom of primary skin diseases including allergic contact dermatitis. [dentalcare.com]

Two trials demonstrated significant elimination of pruritus with second- or third-generation antihistamine treatment vs placebo (OR, 10.44; 95% CI, 4.39 to 24.84). [ncbi.nlm.nih.gov]

In some physical urticarias the pruritus and wealing showed disproportionate improvement compared to erythema. [karger.com]

Drug Eruptions

Drug avoidance is the mainstay of treatment, and antihistamines can reduce associated pruritus. [ncbi.nlm.nih.gov]

Fixed drug eruption was the commonest reaction, seen in 61 patients; other reactions being urticaria and angioedema,morbilliform rash in 37, pruritus in 25, Stevens Johnson [ncbi.nlm.nih.gov]

[…] the reasons for the observed pruritus in two and three patients, respectively. [ijdvl.com]

Kounis Syndrome

Generalized pruritus and flushing immediately developed and was treated with intravenous diphenhydramine. [cmaj.ca]

Treatment for anaphylaxis was initiated with intravenous hydrocortisone, diphenhydramine, and famotidine with improvement in pruritus, dyspnea, and chest discomfort. [ncbi.nlm.nih.gov]

The most commonly reported adverse events were periorbital oedema (1,339), pruritus (1,223), orbital oedema (828), urticarial (594) and rash (532)7. [npra.gov.my]

Anal Disorder

When no underlying skin condition is found, the term ' pruritus ani' may be used. [dermnetnz.org]

Pruritus Ani Affecting men more commonly than women with a 4:1 ratio, pruritus ani is a common medical problem. [organsofthebody.com]

SUPPORTIVE CARE FOR ANORECTAL DISORDERS Anal pruritus, or pruritus ani, which is characterized by itching and discomfort, affects an estimated 1% to 5% of the general population [pharmacytimes.com]

Malignant Melanoma of the Vulva

When manifestations are present, vaginal bleeding is reported as the most common, whereas vaginal discharge, pruritus, pain, vaginal irritation, and a stinging sensation are [symptoma.com]

Presenting symptoms were pruritus, bleeding and ulcer. [ncbi.nlm.nih.gov]

We report on a 60 year old patient with a 6 month history of vulval pruritus and an erosive vulval lesion which was mistaken for lichen sclerosus et atrophicus. [ncbi.nlm.nih.gov]

Fungal Otitis Externa

These patients had been referred to us for evaluation of chronic, mostly treatment-refractory otitis externa, which had manifested as otorrhea, otalgia, and/or pruritus. [ncbi.nlm.nih.gov]

Infection leads to an inflammatory response causing erythema and oedema of the epithelium, with resulting otalgia, pruritus and jaw pain. [drnirmalpatel.com]

Pruritus is more marked than with other forms of ear infections and discharge is often a marked feature. [patient.info]

Psychogenic Pruritus

Concerning the terminology “psychogenic pruritus”, the FPDG discussed other possibilities such as “non-organic pruritus”, “psychosomatic pruritus”, “somatoform pruritus”, [medicaljournals.se]

Pruritus is an important factor in the development of epidermolysis bullosa pruriginosa and is the focus of management. [ncbi.nlm.nih.gov]

Chapter: (p.132) 11 Psychogenic pruritus Source: Pruritus in Advanced Disease John Y. Koo Roger S. [oxfordscholarship.com]

Drug-Induced Toxic Hepatitis

Combination of estrogenic and progestational steroids; estrogen is primarily responsible Intrahepatic cholestasis Pruritus and jaundice Susceptible patients: idiopathic jaundice [slideshare.net]

Cholestyramine can be used for alleviation of pruritus. Ursodeoxycholic acid may be used. [scialert.net]

Case Report A 73-year-old female patient was referred to our outpatient liver clinic with fatigue, pruritus, generalized arthralgia, and acute hepatitis. [karger.com]

Idiosyncratic Drug-Induced Liver Injury

Cholestyramine can be used for alleviation of pruritus. Ursodeoxycholic acid may be used. [scialert.net]

Case Report A 73-year-old female patient was referred to our outpatient liver clinic with fatigue, pruritus, generalized arthralgia, and acute hepatitis. [karger.com]

Usually, the onset is abrupt, with chills, fever, rash, pruritus, arthralgia, headache, abdominal pain, anorexia, nausea and vomiting. [patient.info]