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Pruritus

  • Magda Blessmann Weber
  • Fernanda Oliveira Camozzato
Chapter

Abstract

Pruritus is a frequent symptom in the general population and can occur in many skin and systemic diseases. Its frequency demonstrates a high burden and an impaired quality of life. According to the International Forum on the Study of Itch (IFSI) the classification comprises a clinical distinction of patients with pruritus on primarily diseased/inflamed skin, pruritus on normal skin and pruritus with chronic secondary scratch lesions. The pruritus must be considered as a symptom and not a disease because an underlying cause can be identified in the medical investigation and follow-up of the patient. As a consequence of the diversity of possible underlying diseases, no single therapy concept can be recommended.

Keywords

Pruritus Itch Chronic pruritus Acute pruritus Mediators Neural pathways Pathophysiology Clinical classification Skin diseases Systemic disease Symptomatic therapy Systemic therapy 

Notes

Glossary

Amyelinic C fibers 

One of three classes of nerve fiber in the central nervous system and peripheral nervous system. There are a myriad of mediators capable of stimulating these afferent nerves leading to itch, including biogenic amines, proteases, cytokines, and peptides. Some of these mediators can also evoke sensations of pain, and the sensory processing underlying both sensations overlaps in complex ways.

Capsaicin 

An active component of chili peppers, which are plants belonging to the genus Capsicum. Capsaicin is used to help relieve a certain type of pain known as neuralgia.

JAK2V617 mutation 

The JAK2V617 mutated allele is present in virtually all patients with polycythemia vera (PV) and in about 60% of those with essential thrombocythemia (ET) and primary myelofibrosis (PMF), which are the other two main clinical entities included within the group of myeloproliferative neoplasms. The presence of the mutation, and/or the burden of JAK2V617 allele, has been found to correlate with defined laboratory abnormalities and clinical features in the different myeloproliferative neoplasms.

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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Magda Blessmann Weber
    • 1
  • Fernanda Oliveira Camozzato
    • 2
  1. 1.Dermatology Service of Federal University of Health Sciences of Porto AlegrePorto AlegreBrazil
  2. 2.Brazilian Center for Studies in DermatologyPorto AlegreBrazil

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