[Pruritus in frequent skin diseases and therapeutic options]

Abstract

Pruritus is a common symptom in many inflammatory skin conditions. In these cases, itch is typically pruritoceptive and is induced by cutaneous inflammation. The most common skin diseases associated with itch are eczemas, including atopic dermatitis, dry skin or contact dermatitis. Scabies has to be excluded. Psoriasis and lichen planus are other common skin disorders associated with itching. Therapy includes local treatment options including hydration with lotions or creams, topical application of Polidocanol, capsaicin or menthol, phototherapy is an option in many inflammatory skin diseases. Systemic approaches include antihistamines, antidepressants, gabapentin or opiate antagonists.