Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Jun 12;23(1):e0187.
doi: 10.1097/CLD.0000000000000187. eCollection 2024 Jan-Jun.

Managing pruritus in chronic liver disease: An in-depth narrative review

Affiliations
Review

Managing pruritus in chronic liver disease: An in-depth narrative review

Ana Marenco-Flores et al. Clin Liver Dis (Hoboken). .
No abstract available

PubMed Disclaimer

Conflict of interest statement

Alan Bonder consults for and received grants from GSK, Intercept, Mirum, and Ipsen. He consults for Zydus, ChemomAb, CymbaBay, Gilead and CARA. He received royalties or holds licenses from UpToDate and DynaMed. He has given expert testimony for Expert Review, Inc. He has other interests with Pfizer. The remaining authors have no conflicts to report.

Figures

None
Graphical abstract
FIGURE 1
FIGURE 1
Assessment of the severity of pruritus. Visual Analog Scale: 0% = no pruritus; 10%–30% = mild pruritus; 40%–60% = moderate pruritus; 70%–80% = severe pruritus; 90%–100% = very severe pruritus. 5D Itch Scale: The domain scores are added together, potentially ranging from 5 (no pruritus) to 25 (most severe pruritus). PBC-40: Items are scored from 1 to 5 (never, rarely, sometimes, most of the time, and always), and the individual item scores are summed to give a total domain. Abbreviation: PBC, primary biliary cholangitis.
FIGURE 2
FIGURE 2
Current therapeutic recommendation for the management of pruritus in cholestatic liver diseases. Abbreviations: ICP, intrahepatic cholestasis of pregnancy; mg, milligrams; PXR, pregnane X receptor.

Similar articles

Cited by

References

    1. Smith HT, de Souza AR, Thompson AH, McLaughlin MM, Dever JJ, Myers JA, et al. . Cholestatic pruritus treatments in primary biliary cholangitis and primary sclerosing cholangitis: A systematic literature review. Dig Dis Sci. 2023;68:2710–30. - PMC - PubMed
    1. Medina-Morales E, Barba Bernal R, Gerger H, Goyes D, Trivedi HD, Ferrigno B, et al. . Pharmacological therapy of pruritus in primary biliary cholangitis: Systematic review and meta-analysis of randomized clinical trials. J Clin Gastroenterol. 2022;57:143–152. - PubMed
    1. Trivedi HD, Lizaola B, Tapper EB, Bonder A. Management of Pruritus in Primary Biliary Cholangitis: A Narrative Review. Am J Med. 2017;130:744.e1–744.e7. - PubMed
    1. Düll MM, Kremer AE. Newer approaches to the management of pruritus in cholestatic liver disease. Curr Hepatol Rep. 2020;19:86–95.
    1. Selim R, Ahn J. Pruritus in chronic liver disease. Clin Liver Dis. 2023;27:47–55. - PubMed