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 63
- Downloads 0
A STUDY OF CARDIAC DISEASES IN PATIENTS WITH CHRONIC KIDNEY DISEASE
BACKGROUND The heart and the kidneys are tightly interlinked with each other. So, primary disorder of one of these organs often results in the secondary dysfunction of other. The patients with CKD most of the times die f...
STUDY OF PLACENTA PRAEVIA AND ITS FOETOMATERNAL OUTCOME IN A TERTIARY CARE CENTER- MGMGH, TRICHY
BACKGROUND The highest prevalence of placenta praevia internationally is in Asian women. Placenta praevia is found to complicate 0.4% to 0.5% of all pregnancies and is one of the major causes of third trimester haemorrha...
A CLINICAL TRIAL OF COMBINED INFRARED COAGULATION AND RUBBER BAND LIGATION AS AN ALTERNATIVE TO HAEMORRHOIDECTOMY IN THE MANAGEMENT OF THIRD- AND FOURTH-DEGREE HAEMORRHOIDS
BACKGROUND Purpose of this study is to show that for grade III & IV haemorrhoids, surgery can be avoided in selected group of patients. Fine faecal incontinence due to damage of anal cushion is a major concern of patient...
A COMPARATIVE STUDY OF FORCED EXPIRATORY VOLUME IN FIRST SECOND AND BODY MASS INDEX IN YOUNG ADULT MALES
Obesity is becoming a serious public health issue and is related to lung dysfunction. This study was planned to assess the correlation between the pulmonary function like FEV1 and increasing BMI in young adult males. Thi...
LONG HOSPITAL STAY MAY LEAD TO DEPRESSION?
BACKGROUND A significant percentage of patients admitted in the hospital for some other ailments for duration longer than their expectations may suffer from depression during their hospitalization. Aim of the study is to...