The American Journal of Digestive Diseases

, Volume 10, Issue 7, pp 254–261 | Cite as

Pruritus ani

  • Alfred J. Cantor


A new classification for pruritus ani is suggested. Division into “secondary pruritus ani,” when the etiology is discoverable, and “cryptogenic pruritus ani,” for cases of undetermined etiology, would unify the literature and direct the practical therapeutic approach.

The etiology and physiology of the disease is discussed at length. The author’s therapy of pernicious cryptogenic pruritus ani is described in detail. Tattoo with mercuric sulphide, and the operation of tattoo-neurotomy are recommended as the procedures of choice.


Epidural Injection Fecal Soiling Undetermined Etiology Sweet Almond Mercuric Sulphide 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Drueck, Charles J.: Allergic and Anaphylactic Factors of Pruritus Perinei.Medical Record, 151:199, March 20, 1940.Google Scholar
  2. 2.
    Kolde, W.: The Roentgen Treatment of Pruritus Vulvae and Ani.Strahlentherapie, 44:393, 1932.Google Scholar
  3. 3.
    Buie, Louis A.: Anal Pruritus.J. Iowa State Med. Society, 29:185, May, 1939.Google Scholar
  4. 4.
    Abel, A. Lawrence: Pruritus Ani.Brit. Med. J., 1:627, March 25, 1939.CrossRefGoogle Scholar
  5. 5.
    Caskey, Charles R.: Pruritus Ani.California and Western Medicine, 50:14, Jan., 1939.PubMedGoogle Scholar
  6. 6.
    Hailey, Howard and Hailey, Hugh: Pruritus Ani et Vulvae.Arch. of Dermatology and Syphilology, 40:726, Nov., 1939.Google Scholar
  7. 7.
    Hollander, Edward: Treatment of Pruritus Ani by Tattoo with Mercuric Sulfide.Arch. of Dermatology and Syphilology, 38:337, Sept., 1938.Google Scholar
  8. 8.
    Turell, Robert, Buda, Alfred M. and Martino, A. W. Martin: Treatment of Pruritus Ani by Tattooing with Mercury Sulfide.Arch. of Dermatology and Syphilology, 41:521, March, 1940.Google Scholar
  9. 9.
    Turell, Robert: Tattooing with Mercuric Sulfide for the Treatment of Intractable Pruritus Vulvae and Ani. An Anatomicoclinical Study.Am. J. Obst. and Gyn., 42:290, Aug., 1941.Google Scholar
  10. 10.
    Stillians, Arthur W.: The Pharmacopeia and the Physician: Therapy of Pruritus.J. A. M. A., 114:1627, April 27, 1940.Google Scholar
  11. 11.
    Speare, George S. and Mabrey, Roy E.: Observations on Pruritus Ani.New Eng. J. Med., 223:274, Aug. 22, 1940.Google Scholar
  12. 12.
    Savill, Agnes: The Treatment of Vulvar and Anal Eczema.Med. Woman’s J., 40:283, Oct., 1933.Google Scholar
  13. 13.
    R. S.: Pruritus Ani.Rev. gen. clin. therap., 52:521, Aug. 8, 1938.Google Scholar
  14. 14.
    Cowett, Max P.: Pruritus Ani; Review of 131 Cases Followed Over an Eight Year Period.Am. J. Surg., 36:262, April, 1937.CrossRefGoogle Scholar
  15. 15.
    Riddoch, John W.: Pruritus Ani.Lancet, 232:919, April 17, 1937.CrossRefGoogle Scholar
  16. 16.
    Seimeanu, A. and Adamesteanu, C.: The Pathogenesis of Perineal Pruritus and Its Treatment by Epidural Injections of Magnesium Sulphate.La presse medicale, 47:1498, Nov. 11-15, 1939.Google Scholar
  17. 17.
    Manheim, Sylvan D. and Marks, Mark M.: Eucupin (Isoamylhydro-cupreine) as a Local Anesthetic in Proctologic Surgery and in the Treatment of Pruritus Ani.Am. J. Surg., 39:86, Jan., 1938.CrossRefGoogle Scholar
  18. 18.
    Granet, Emil: Pruritus Ani: The Etiologic Factors and Treatment in 100 Cases.New Eng. J. Med., 223:1015, Dec. 19, 1940.CrossRefGoogle Scholar
  19. 19.
    Brooke, Banner R.: Perineal Pruritus an Allergic Manifestation?Northwest Med., 38:462, Dec., 1939.Google Scholar
  20. 20.
    Sack, W. T.: Pruritus as a Sensibility Neurosis.Jadassohn’s Handbuch der Haut- und Geschlechts-krankheiten, Berlin, Julius Springer, Vol. 4, part 2, pp. 1328–1336, 1933.Google Scholar
  21. 21.
    Rothman, S.: Pruritus and the Pruriginous Diseases.Jadassohn’s Handbuch der Haut- und Geschlechts-krankheiten, Berlin, Julius Springer, Vol. 14, Part 1, pp. 664–718, 1930.Google Scholar
  22. 22.
    Hopkins, H. Hanford: Psychogenic Aspects of Certain Common Cutaneous Diseases.Arch. of Dermatology and Syphilology, 37:1035, June, 1938.Google Scholar
  23. 23.
    Graham-Little, Sir Ernest: Pruritus.The Practitioner, 128:224, March, 1932.Google Scholar
  24. 24.
    Swinton, Neil W.: The Injection of Alcohol in the Treatment of Pruritus Ani.Surg. Clinics North America, 19:689, June, 1939.Google Scholar
  25. 25.
    Drueck, Charles J.: Treatment of Pruritus Ani.Med. Record, 149:264, April 19, 1939.Google Scholar
  26. 26.
    Winkler, M.: Etiology and Pathogenesis of Pruritus.Jadassohn’s Handbuch der Haut- und Geschlechts-krankheiten, Berlin, Julius Springer, Vol. 6, Sect. 1, p. 343, 1927.Google Scholar
  27. 27.
    Cantor, Alfred J.: Pruritus Ani.Am. J. Surg., 53:121–124, July, 1941.CrossRefGoogle Scholar
  28. 28.
    Cantor, Alfred J.: Tattoo Technique for Pruritus Ani.Med. Record, 152:27–28, July 3, 1940.Google Scholar
  29. 29.
    Cantor, Alfred J.: Pruritus Ani: Tattoo-Neurotomy.The Review of Gastro-Enterology, 10:46, Jan., Feb., 1943.Google Scholar

Copyright information

© Springer-Verlag 1943

Authors and Affiliations

  • Alfred J. Cantor
    • 1
  1. 1.Flushing

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