Pruritus Ani: Causes & Reasons

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Possible Causes for Pruritus Ani

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]

ani bright red rectal bleeding Haemorrhoids are very common and can occur at any age. [gpnotebook.co.uk]

Prolapsed Hemorrhoids

Not reduced hemorrhoids may cause itching or called pruritus ani. There are some conditions that this simple treatment can’t work. [freehemorrhoids.com]

Primary pruritus ani occurs when there is no discernible cause. [ahcmedia.com]

Mucus from the hemorrhoid may also leak, and this can inflame the skin around the anus and cause pruritus ani or anal itching. 8 Prolapsed Hemorrhoids These refer to hemorrhoids [articles.mercola.com]

Enterobiasis

Pruritus Ani which occurs usually at night At night, the female of the Enterobius vermicularis species that lives in the colon migrates out of the anus and deposits her eggs [explainmedicine.com]

One common symptom is intense pruritus ani that in some patients can lead to insomnia, restlessness and irritability. [ncbi.nlm.nih.gov]

Common symptoms of enterobiasis are intense pruritus ani and perineal pruritus that result when the female migrates to the anal area to lay eggs especially at night. [biology-online.org]

Perianal Candidiasis

Pruritus ani; pp. 49–53. [ Google Scholar ] 6. Zuccati G, Lotti T, Mastrolorenzo A, Rapaccini A, Tiradritti L. Pruritus ani. [ncbi.nlm.nih.gov]

Verbon J (1984) Pruritus ani and its management — a study and reappraisal. Clin Exp Dermatol 9:46–52 Google Scholar 7. Hammer B (1989) Pruritus ani. [link.springer.com]

Secondary pruritus ani Causes of secondary pruritus ani are numerous and include: Skin disorders Thought to account for 50% of secondary pruritus ani. [patient.info]

Dermatitis Medicamentosa due to Ingested Drugs

ANI ET VULVAE ET SCROTI 286 CHAPTER CXVI TINEA UNGUIUM 290 CHAPTER CXVII URTICARIA 292 CHAPTER CXVIII URTICARIA PIGMENTOSA 296 CHAPTER CXIX VARICOSE ULCER 298 CHAPTER CXX [books.google.com]

ULCER 272 TERTIARY ULCER 274 TERTIARY ULCERATING SYPHILIDE 276 CHAPTER CXII TINEA BARBAI 278 CHAPTER CXIII TINEA CIRCINATA 280 CHAPTER CXIV TINEA CRURIS 282 CHAPTER CXV PRURITUS [books.google.com]

Anorectal Fistula

Ani Pruritus ani, or perianal itching, affects 1 to 5 percent of the population, 3 and is the second most common anorectal condition after hemorrhoids. 4 Most patients self-treat [aafp.org]

The medical term for this is pruritus ani, which means itchy skin around the anus. [news-medical.net]

Clinical Presentation  H/o  Chronic drainage from “nonhealing abscess”  Pain with defecation  Pruritus ani  Systemic symptoms if abscess gets infected.  Physical exam [slideshare.net]

Cutaneous Candidiasis

Perianal candidiasis produces white maceration and pruritus ani. Vulvovaginal candidiasis causes pruritus and discharge (see Candidal Vaginitis ). [merckmanuals.com]

Perianal candidiasis produces white maceration and pruritus ani. Vulvovaginal candidiasis causes pruritus and discharge (see Candidal Vaginitis). [msdmanuals.com]

Anal Fissure

Presenting symptoms included pain (100%), bleeding (80%), pruritus ani (39%), constipation (26%), and diarrhea. [ncbi.nlm.nih.gov]

Hemorrhoid Pruritus ani [en.wikipedia.org]

– Like knife cutting • Rectal bleeding – Minimal, bright red • Pruritus ani 10. [slideshare.net]

Contact Dermatitis

Individuals with a skin condition (such as stasis dermatitis, otitis externa, or pruritus ani) requiring frequent application of topical agents can develop allergic contact [skinsight.com]

ani and pruritus vulvae may develop allergic contact dermatitis Nickel is the most common metal present in artificial jewelry which is the cause of allergic contact dermatitis [ncbi.nlm.nih.gov]

Allergic contact dermatitis can occur at any age in people of all ethnic backgrounds. [skinsight.com]

Malignant Anal Neoplasm

The most common clinical features are rectal bleeding (up to 45% of cases), pruritus ani, and tenderness or pain in the anal area. [amboss.com]

Tumors of the perianal skin, especially Bowen's disease or Paget’s disease, may present with pruritus ani, a bleeding erythematous or eczematous plaque. [cancertherapyadvisor.com]

Intertrigo

Perianal/natal cleft: Consider pruritus ani, candidal infection, contact dermatitis, anal fissures, essential fatty acid deficiency, acrodermatitis enteropathica, extramammary [emedicine.medscape.com]

Candidiasis

Amir Bastawrous and Vivek Chaudhry, Specific Pruritus Ani, Seminars in Colon and Rectal Surgery, 17, 3, (131), (2006). [doi.org]

27] Respiratory candidiasis[22][25] Cutaneous candidiasis Candidial folliculitis[22] Candidal intertrigo[22] Candidal paronychia[22] Perianal candidiasis, may present as pruritus [en.wikipedia.org]

Amir Bastawrous and Vivek Chaudhry, Specific pruritus ani, Seminars in Colon and Rectal Surgery, 14, 4, (203), (2003). [doi.org]

Proctitis

Proctitis and anusitis (also known as pruritus ani) are two unpleasant conditions affecting the anal region. [healthguidance.org]

Atopic Dermatitis

See also[edit] Formication, a sensation that resembles that of small insects crawling on or under the skin Pruritus ani (also known as anusitis), irritation of skin at the [en.wikipedia.org]

Topical steroid creams and ointments reduce both inflammation and pruritus. Corticosteroids vary in their potency (see Table 3). [theasthmacenter.org]

Eczema (acute, subacute, chronic): (1) Typical morphology and age-specific patterns (facial/neck/extensor involvement in children, flexural involvement in any age group, [emedicine.medscape.com]

Colitis Cystica Profunda

Pruritus Ani Coperland, S. M. The etiology and therapy of pruritus ani. J. Kentucky M. A., 70: 300-303, 1972. [vdocuments.us]

Dee. 1969 Pruritus Anl T o n k e n s, S. W. a n d Kersting, D. YV. H o w we treat p r u r i t u s ani. Postgrad. Med., 44: 225-227, 1968. [slideheaven.com]

Psoriasis

Patients should be asked about pruritus, painful lesions, the initial site of involvement, and any personal or family history of atopy (e.g., asthma, allergic rhinitis, childhood [web.archive.org]

[…] limited adverse effects and patient friendly formulations (can be administered by means of any vehicle) [ 4, 6 ]. [omicsonline.org]

Topical corticosteroids They have anti-inflammatory and anti-proliferative, properties reducing pruritus, scaling and erythema [ 9 ].Advantage of steroids is rapid action, [omicsonline.org]

Tinea Cruris

See also Antifungal drugs Pruritus ani Ringworm Reference External links eMedicine Health MayoClinic - jock itch Links to jock itch pictures (Hardin MD/Univ of Iowa) How to [wikidoc.org]

“Anogenital region” is an anatomic area that may be affected by chloracne (DC 7829), whereas “pruritus ani” is an itching near the rectum. [federalregister.gov]

Duration of treatment until clinical cure This was not assessed in any of the studies. [doi.org]

Cutaneous Strongyloidiasis

ani, bloating and, rarely, small bowel obstruction. [emedicine.medscape.com]

Strongyloidiasis can occur without any symptoms or as a chronic infection characterized by mild, unspecific symptoms such as pruritus, abdominal pain or discomfort; respiratory [ncbi.nlm.nih.gov]

[…] manifestations Gastrointestinal symptoms are vague, including epigastric abdominal cramping, indigestion, anorexia, weight loss, nausea, vomiting, chronic diarrhea, constipation, pruritus [emedicine.medscape.com]

Scabies

Unusual Clinical Scenarios to Consider in Patient Management In immunosuppressed patients with exaggerated or crusted scabies, patients may have minimal (or no) pruritus. [clinicaladvisor.com]

The diagnosis must be considered in any recalcitrant psoriasiform or chronic eczematous rash in these patients who have failed to respond to standard therapy for those disorders [clinicaladvisor.com]

Lymphogranuloma Venereum

Pediculosis Pubis Patients who have pediculosis pubis (i.e., pubic lice) usually seek medical attention because of pruritus. [wonder.cdc.gov]

ECTOPARASITIC INFECTIONS Pediculosis Pubis Patients who have pediculosis pubis (i.e., pubic lice) usually seek medical attention because of pruritus. [cdc.gov]

Management of Sex Partners Partners of patients with sexually transmitted enteric infections should be evaluated for any diseases diagnosed in the index patient. [cdc.gov]

Taenia Saginata

However, others present with pruritus ani (77%), nausea (46%), abdominal pain (43%), dizziness (42%), increased appetite (30%), and other mild gastrointestinal symptoms [2 [hindawi.com]

Diabetes Mellitus

Patients with type 1 diabetes mellitus usually present with classic acute symptoms of hyperglycemia. These include: Polyuria (due to osmotic diuresis when blood glucose level exceeds renal threshold) Thirst (as a consequence of loss of fluids and electrolytes by osmotic diuresis) Postural hypotension (due to[…] [symptoma.com]

Gonorrhea

Gonorrhea is a common sexually transmitted infection caused by the gram-negative diplococcus Neisseria gonorrhoeae. Symptoms of gonorrhea in women include vaginal discharge, dysuria, intermenstrual bleeding, dyspareunia and abdominal pain. In men, gonorrhea causes anterior urethritis. Eyes Gonorrhea causes[…] [symptoma.com]

Diabetes in Pregnancy

The optimum treatment for HNF1A/HNF4A maturity-onset diabetes of the young and ATP-sensitive potassium (K ATP ) channel neonatal diabetes, outside pregnancy, is sulfonylureas, but there is little evidence regarding the most appropriate treatment during pregnancy. Glibenclamide has been widely used in the[…] [ncbi.nlm.nih.gov]

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]

Psychogenic Pruritus

Causes [ edit ] If a specific cause for pruritus ani is found it is classified as "secondary pruritus ani". [en.wikipedia.org]

Medicine 5 Medicine prurito anal pruritus ani 6 Medicine prurito cubano cuban itch 7 Medicine prurito de escarcha frost itch 8 Medicine prurito de invierno winter itch 9 [termbank.com]

ani Transdermal drug delivery systems Endothelin-1 - well this is predictable and has been done in man to prove the point [2] [3] ! [ganfyd.org]

Perianal Thrombosis

Pruritus Ani 6.1 Definition. Pruritus ani is the insidious onset of perianal itching, burning or discomfort. [uwgi.org]

Itching (pruritus ani) – this is quite a common symptom and is due to mucous discharge from the lower bowel lining covering the haemorrhoid. [sydneycolorectal.com.au]

Other diagnoses such as anal fissures, pruritus ani, abscess, fistula, and condyloma should be ruled out by examining the anus, the perianal region, and the anal canal. [mdedge.com]

Candida Albicans Vaginitis

Fluconazole Resistance Candida albicans in Females With Recurrent Vaginitis and Pir1 Overexpression Zahra Nasrollahi 1, Mohammad Hossein Yadegari 2, *, Shahla Roudbar Mohammadi 1, Maryam Roudbary 3, Maryam Hosseini Poor 2, Fatemeh Nikoomanesh 1 and Masumeh Rajabi Bazl 4 1 Religion and Medicine Research center, Qom[…] [jjmicrobiol.com]

Hookworm Infection

Hookworm infection is a relatively common cause of anemia in endemic areas. The most common hookworm species are Ancylostoma duodenale and Necator americanus. In this report we present a case of overt gastrointestinal bleeding because of hookworm infection. Capsule endoscopy revealed many hookworms in the lumen[…] [ncbi.nlm.nih.gov]

Taenia Saginata Infection

Surgical complications of Taenia saginata infection, the bovine tapeworm which man acquires by eating undercooked beef, are mentioned in standard texts; however, none of these seem to give any specific reference. Reported here is one case of acute mechanical intestinal obstruction due to a bolus impaction of[…] [ncbi.nlm.nih.gov]