CHRONIC PRURITUS WITHOUT SKIN RASH– EVALUATION OF SYSTEMIC CAUSES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 19
Abstract
BACKGROUND Pruritus lasting more than 6 weeks is termed chronic pruritus. Certain systemic diseases have long been known to cause pruritus that ranges in intensity from a mild annoyance to an intractable, disabling condition. Generalized pruritus may be classified into the following categories on the basis of the underlying causative diseases like renal pruritus, cholestatic pruritus, haematologic pruritus, endocrine pruritus, pruritus related to malignancy and idiopathic generalized pruritus. The aim of this study was to evaluate the systemic causes of chronic pruritus without skin rashes. MATERIALS AND METHODS A descriptive cum analytical study was performed for a period of nine months duration. Inclusion Criteria- Pruritus of more than six weeks duration without skin rash: female and male of any age group are included in this study. Exclusion Criteria- Patients with skin rashes are not included in this study. All patients were evaluated with history and complete physical examination. Blood investigations like complete blood count, blood sugar, renal function test, liver function test and peripheral smear study were done for all patients. Investigations for thyroid disorders and haematologic causes were done for required patients. USG abdomen and CT scan were also done for required patients. Expert’s opinion obtained for those patients having psychological and neurological signs and symptoms. RESULTS For a period of nine months duration 100 patients were evaluated and tabulated. By this study, various systemic diseases were diagnosed and treated. For further evaluation and treatment certain patients were referred to other speciality departments. Limitations- A small number of patients during this period was a limiting factor. CONCLUSION By evaluating the systemic causes of chronic pruritus without skin rash, hidden cases can be brought out and it helps for the treatment purpose also.
Authors and Affiliations
Amudha Renganathan, Narmadha Selvaraj
Keywords
Related Articles
- EP ID EP215069
- DOI 10.18410/jebmh/2017/211
- Views 101
- Downloads 0
CADAVERIC STUDY ON VARIATIONS OF PALMARIS LONGUS AND ITS CLINICAL SIGNIFICANCE
BACKGROUND Palmaris longus is a member of superficial group of flexor compartment of forearm muscles. It is a weak flexor of wrist and tensor of palmar aponeurosis. Its absence does not affect the strength or grip. Howev...
A PROSPECTIVE AUTOPSY STUDY OF CHEST INJURIES BY BLUNT TRAUMA
Trauma is one of the leading preventable causes of death in developing countries, and is a major health and social problem. Trauma affects generally the young people, and accounts for loss of more years of life, than los...
RELATIONSHIP OF PROINFLAMMATORY CYTOKINES WITH MICROALBUMINURIA IN PATIENTS OF TYPE 2 DIABETES MELLITUS- IMPLICATIONS IN THE PATHOGENESIS OF DIABETIC NEPHROPATHY
BACKGROUND Type 2 diabetes mellitus is frequently associated with an increased inflammatory state. However, the relationship between of low grade inflammation and diabetic nephropathy still remains unclear with conflicti...
DENTAL EROSION IN PRIMARY DENTITION- A REVIEW
BACKGROUND The pattern of oral diseases has been influenced by ever changing human lifestyle. Tooth wear especially dental erosion has drawn increasing attention as risk factor for tooth damage or loss in recent years. I...
IMPACT OF EDUCATION ON KNOWLEDGE REGARDING VOLUNTARY BLOOD DONATION: A RETROSPECTIVE STUDY
Availability of blood and its components is becoming scarce day by day because of increasing demand due to rise in human life expectancy and the implementation of new and aggressive therapeutic methods requiring large qu...