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Pruritus in Hematological Diseases (Including Aquagenic Pruritus)

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Pruritus

Abstract

Hematological disorders are malignant neoplasms that derive from myeloid and lymphoid cell lineages. Lymphomas, chronic lymphocytic leukemia (CLL) and multiple myeloma (MM) and others monoclonal gammopathies derived from the lymphoid line while acute and chronic myelogenous leukemia (AML and CML), myelodysplastic syndrome (MDS) and myeloproliferative neosplasms (MPN) are from myeloid origin. A simplified classification is presented in Table 36.2.

Among the numerous symptoms that could be described by patients suffering from hematological malignancies, pruritus is perhaps the most common clinical feature. It is often described as generalized and chronic itch. Recently, pruritus associated with hematological disorders has been defined as paraneoplastic pruritus (Weisshaar et al., Acta Derm Venereol 95(3):261–265, 2015).

This chapter will neither discussed about treatment-induced pruritus described in many cases in hematological malignancies nor about cutaneous T-cell lymphoma (CTCL) and mastocytosis, presented in another chapters (Chap. 22, Mastocytosis, and Chap. 27, Cutaneous Lymphoma, respectively).

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References

  1. Weisshaar E, Weiss M, Mettang T, Yosipovitch G, Zylicz Z. Paraneoplastic itch: an expert position statement from the Special Interest Group (SIG) of the International Forum on the Study of Itch (IFSI). Acta Derm Venereol. 2015;95(3):261–5.

    Article  PubMed  Google Scholar 

  2. Gobbi PG, Attardo-Parrinello G, Lattanzio G, Rizzo SC, Ascari E. Severe pruritus should be a B-symptom in Hodgkin’s disease. Cancer. 1983;51(10):1934–6.

    Article  CAS  PubMed  Google Scholar 

  3. Roif M, Miller EB, Kneller A, Landau Z. Unusual manifestations of Hodgkin’s disease. Isr Med Assoc J IMAJ. 2003;5(1):62–3.

    PubMed  Google Scholar 

  4. Rubenstein M, Duvic M. Cutaneous manifestations of Hodgkin’s disease. Int J Dermatol. 2006;45(3):251–6.

    Article  PubMed  Google Scholar 

  5. Kumar SS, Kuruvilla M, Pai GS, Dinesh M. Cutaneous manifestations of non-Hodgkin’s lymphoma. Indian J Dermatol Venereol Leprol. 2003;69(1):12–5.

    CAS  PubMed  Google Scholar 

  6. Radossi P, Tison T, Vianello F, Dazzi F. Intractable pruritus in non-Hodgkin lymphoma/CLL: rapid response to IFN alpha. Br J Haematol. 1996;94(3):579.

    CAS  PubMed  Google Scholar 

  7. Chung VQ, Moschella SL, Zembowicz A, Liu V. Clinical and pathologic findings of paraneoplastic dermatoses. J Am Acad Dermatol. 2006;54(5):745–62; quiz 763–6.

    Article  PubMed  Google Scholar 

  8. Robak E, Robak T. Skin lesions in chronic lymphocytic leukemia. Leuk Lymphoma. 2007;48(5):855–65.

    Article  PubMed  Google Scholar 

  9. Lipsker D, Veran Y, Grunenberger F, Cribier B, Heid E, Grosshans E. The Schnitzler syndrome. Four new cases and review of the literature. Medicine (Baltimore). 2001;80(1):37–44.

    Article  CAS  Google Scholar 

  10. Zelicovici Z, Lahav M, Cahane P. Pruritus as a presentation of myelomatosis. Br Med J. 1977;2(6095):1154.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Paredes-Suárez C, Fernández-Redondo V, Blanco MV, Sánchez-Aguilar D, Toribio J. Multiple myeloma with scleroderma-like changes. J Eur Acad Dermatol Venereol JEADV. 2005;19(4):500–2.

    Article  PubMed  Google Scholar 

  12. Carlioz R, Haas C, Jaubert F, Allouche C, Lowenstein W, Le Jeunne C, et al. Waldenström’s disease with diffuse large immunoblastic cell lymphoma and chronic urticaria. Ann Med Interne. 1989;140(1):51–2.

    CAS  Google Scholar 

  13. Plötz SG, Hüttig B, Aigner B, Merkel C, Brockow K, Akdis C, et al. Clinical overview of cutaneous features in hypereosinophilic syndrome. Curr Allergy Asthma Rep. 2012;12(2):85–98.

    Article  PubMed  CAS  Google Scholar 

  14. Gattringer C, Müller H, Steurer M, Steger C, Ratzinger G. Narrowband UVB therapy for the treatment of pruritus in hypereosinophilic syndrome: clinical report and review of the literature on phototherapy. J Am Acad Dermatol. 2012;67(5):e210–3.

    Article  PubMed  Google Scholar 

  15. Gotlib J. World Health Organization-defined eosinophilic disorders: 2014 update on diagnosis, risk stratification, and management. Am J Hematol. 2014;89(3):325–37.

    Article  CAS  PubMed  Google Scholar 

  16. Mesa RA, Niblack J, Wadleigh M, Verstovsek S, Camoriano J, Barnes S, et al. The burden of fatigue and quality of life in myeloproliferative disorders (MPDs): an international Internet-based survey of 1179 MPD patients. Cancer. 2007;109(1):68–76.

    Article  PubMed  Google Scholar 

  17. Emanuel RM, Dueck AC, Geyer HL, Kiladjian J-J, Slot S, Zweegman S, et al. Myeloproliferative neoplasm (MPN) symptom assessment form total symptom score: prospective international assessment of an abbreviated symptom burden scoring system among patients with MPNs. J Clin Oncol Off J Am Soc Clin Oncol. 2012;30(33):4098–103.

    Article  Google Scholar 

  18. Saini KS, Patnaik MM, Tefferi A. Polycythemia vera-associated pruritus and its management. Eur J Clin Invest. 2010;40(9):828–34.

    Article  PubMed  Google Scholar 

  19. Vaa BE, Wolanskyj AP, Roeker L, Pardanani A, Lasho TL, Finke CM, et al. Pruritus in primary myelofibrosis: clinical and laboratory correlates. Am J Hematol. 2012;87(2):136–8.

    Article  PubMed  Google Scholar 

  20. Hinckley MR, Walsh SN, Molnár I, Sheehan DJ, Sangueza OP, Yosipovitch G. Generalized granuloma annulare as an initial manifestation of chronic myelomonocytic leukemia: a report of 2 cases. Am J Dermatopathol. 2008;30(3):274–7.

    Article  PubMed  Google Scholar 

  21. Garg A, Kundu RV, Plotkin O, Aronson IK. Annular elastolytic giant cell granuloma heralding onset and recurrence of acute myelogenous leukemia. Arch Dermatol. 2006;142(4):532–3.

    Article  PubMed  Google Scholar 

  22. Zirwas MJ, Seraly MP. Pruritus of unknown origin: a retrospective study. J Am Acad Dermatol. 2001;45(6):892–6.

    Article  CAS  PubMed  Google Scholar 

  23. Hagiwara A, Fujimura T, Furudate S, Kambayashi Y, Numata Y, Haga T, et al. Generalized granulomatous dermatitis accompanied by myelodysplastic syndrome. Acta Derm Venereol. 2014;94(2):223–4.

    Article  PubMed  Google Scholar 

  24. Khalifa N, Singer CRJ, Black AK. Aquagenic pruritus in a patient associated with myelodysplasia and T-cell non-Hodgkin’s lymphoma. J Am Acad Dermatol. 2002;46(1):144–5.

    Article  PubMed  Google Scholar 

  25. Kapilin U, Thestrup-Pedersen K, Steiniche T, Lomholt H. Skin markers for Hodgkin’s disease. Acta Derm Venereol. 2005;85(4):345–6.

    PubMed  Google Scholar 

  26. Reamy BV, Bunt CW, Fletcher S. A diagnostic approach to pruritus. Am Fam Physician. 2011;84(2):195–202.

    PubMed  Google Scholar 

  27. Finelli C, Gugliotta L, Gamberi B, Vianelli N, Visani G, Tura S. Relief of intractable pruritus in polycythemia vera with recombinant interferon alfa. Am J Hematol. 1993;43(4):316–8.

    Article  CAS  PubMed  Google Scholar 

  28. Shamsudin N, Chang CC. Diffuse large B-cell lymphoma presenting with extensive cutaneous infiltration. Singapore Med J. 2012;53(9):e198–200.

    PubMed  Google Scholar 

  29. Vècsei A, Attarbaschi A, Krammer U, Mann G, Gadner H. Pruritus in pediatric non-Hodgkin’s lymphoma. Leuk Lymphoma. 2002;43(9):1885–7.

    Article  PubMed  Google Scholar 

  30. Wiednig M, Beham-Schmid C, Kranzelbinder B, Aberer E. Clonal mast cell proliferation in pruriginous skin in hypereosinophilic syndrome. Dermatol Basel Switz. 2013;227(1):67–71.

    Article  CAS  Google Scholar 

  31. Yosipovitch G. Chronic pruritus: a paraneoplastic sign. Dermatol Ther. 2010;23(6):590–6.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Weisshaar E, Szepietowski JC, Darsow U, Misery L, Wallengren J, Mettang T, et al. European guideline on chronic pruritus. Acta Derm Venereol. 2012;92(5):563–81.

    Article  PubMed  Google Scholar 

  33. Villafranca JJA, Siles MG, Casanova M, Goitia BT, Domínguez AR. Paraneoplastic pruritus presenting with Hodgkin’s lymphoma: a case report. J Med Case Reports. 2014;8:300.

    Article  Google Scholar 

  34. Stadie V, Marsch WCH. Itching attacks with generalized hyperhydrosis as initial symptoms of Hodgkin’s disease. J Eur Acad Dermatol Venereol JEADV. 2003;17(5):559–61.

    Article  CAS  PubMed  Google Scholar 

  35. Barksdale SK, Perniciaro C, Halling KC, Strickler JG. Granuloma annulare in patients with malignant lymphoma: clinicopathologic study of thirteen new cases. J Am Acad Dermatol. 1994;31(1):42–8.

    Article  CAS  PubMed  Google Scholar 

  36. Lorente-Lavirgen AI, López-López R, Baquero-Sánchez E, Pulpillo-Ruiz A, De Zulueta-Dorado T, Conejo-Mir J. Pruritic nodules and plaques on the arms with blisters in a patient with chronic lymphocytic leukemia. Int J Dermatol. 2014;53(3):277–9.

    Article  PubMed  Google Scholar 

  37. Perera GK, Devereux S, Mufti G, Salisbury J, Creamer D. PNP with Waldenström’s macroglobulinaemia. Clin Exp Dermatol. 2005;30(1):27–9.

    Article  CAS  PubMed  Google Scholar 

  38. Bickle K, Roark TR, Hsu S. Autoimmune bullous dermatoses: a review. Am Fam Physician. 2002;65(9):1861–70.

    PubMed  Google Scholar 

  39. Bonvalet D, Foldes C, Civatte J. Cutaneous manifestations in chronic lymphocytic leukemia. J Dermatol Surg Oncol. 1984;10(4):278–82.

    Article  CAS  PubMed  Google Scholar 

  40. Ellis DL, Yates RA. Sign of Leser-Trélat. Clin Dermatol. 1993;11(1):141–8.

    Article  CAS  PubMed  Google Scholar 

  41. Yavasoglu I, Kadikoylu G, Bolaman Z. The Leser-Trelat sign is associated with acute myeloid leukemia. Ann Hematol. 2011;90(3):363.

    Article  PubMed  Google Scholar 

  42. Hu S, Granter SR, Haynes HA, Miller DM. Skin spicules: a newly described paraneoplastic phenomenon associated with a marginal zone B-cell lymphoma. J Am Acad Dermatol. 2009;60(5):852–5.

    Article  PubMed  Google Scholar 

  43. Bork K, Böckers M, Pfeifle J. Pathogenesis of paraneoplastic follicular hyperkeratotic spicules in multiple myeloma. Follicular and epidermal accumulation of IgG dysprotein and cryoglobulin. Arch Dermatol. 1990;126(4):509–13.

    Article  CAS  PubMed  Google Scholar 

  44. Paul C, Fermand JP, Flageul B, Caux F, Duterque M, Dubertret L, et al. Hyperkeratotic spicules and monoclonal gammopathy. J Am Acad Dermatol. 1995;33(2 Pt 2):346–51.

    Article  CAS  PubMed  Google Scholar 

  45. Desch JK, Smoller BR. The spectrum of cutaneous disease in leukemias. J Cutan Pathol. 1993;20(5):407–10.

    Article  CAS  PubMed  Google Scholar 

  46. Davis MD, Dinneen AM, Landa N, Gibson LE. Grover’s disease: clinicopathologic review of 72 cases. Mayo Clin Proc. 1999;74(3):229–34.

    Article  CAS  PubMed  Google Scholar 

  47. Fujita Y, Sato-Matsumura KC, Ohnishi K. Transient acantholytic dermatosis associated with B symptoms of follicular lymphoma. Clin Exp Dermatol. 2007;32(6):752–4.

    Article  CAS  PubMed  Google Scholar 

  48. Zhu HJ, Clark LN, Deloney LA, McDonald JE. Grover disease (transient acantholytic dermatosis) in acute myeloid leukemia on FDG PET/CT. Clin Nucl Med. 2014;39(2):e173–5.

    PubMed  Google Scholar 

  49. Weaver J, Bergfeld WF. Grover disease (transient acantholytic dermatosis). Arch Pathol Lab Med. 2009;133(9):1490–4.

    PubMed  Google Scholar 

  50. Scherber R, Dueck AC, Johansson P, Barbui T, Barosi G, Vannucchi AM, et al. The Myeloproliferative Neoplasm Symptom Assessment Form (MPN-SAF): international prospective validation and reliability trial in 402 patients. Blood. 2011;118(2):401–8.

    Article  CAS  PubMed  Google Scholar 

  51. Vannucchi AM, Antonioli E, Guglielmelli P, Rambaldi A, Barosi G, Marchioli R, et al. Clinical profile of homozygous JAK2 617V>F mutation in patients with polycythemia vera or essential thrombocythemia. Blood. 2007;110(3):840–6.

    Article  CAS  PubMed  Google Scholar 

  52. Barosi G, Bergamaschi G, Marchetti M, Vannucchi AM, Guglielmelli P, Antonioli E, et al. JAK2 V617F mutational status predicts progression to large splenomegaly and leukemic transformation in primary myelofibrosis. Blood. 2007;110(12):4030–6.

    Article  CAS  PubMed  Google Scholar 

  53. Ratnaval RC, Burrows NP, Marcus RE, Norris PG. Aquagenic pruritus and acute lymphoblastic leukaemia. Br J Dermatol. 1993;129(3):348–9.

    Article  CAS  PubMed  Google Scholar 

  54. McGrath JA, Greaves MW, Warin AP. Aquagenic pruritus and myelodysplastic syndrome. Am J Hematol. 1991;37(1):63.

    Article  CAS  PubMed  Google Scholar 

  55. Newton JA, Singh AK, Greaves MW, Spry CJ. Aquagenic pruritus associated with the idiopathic hypereosinophilic syndrome. Br J Dermatol. 1990;122(1):103–6.

    Article  CAS  PubMed  Google Scholar 

  56. Gangat N, Strand JJ, Lasho TL, Li C-Y, Pardanani A, Tefferi A. Pruritus in polycythemia vera is associated with a lower risk of arterial thrombosis. Am J Hematol. 2008;83(6):451–3.

    Article  PubMed  Google Scholar 

  57. Cavalli F. Rare syndromes in Hodgkin’s disease. Ann Oncol Off J Eur Soc Med Oncol ESMO. 1998;9 Suppl 5:S109–13.

    Article  Google Scholar 

  58. Demierre M-F, Taverna J. Mirtazapine and gabapentin for reducing pruritus in cutaneous T-cell lymphoma. J Am Acad Dermatol. 2006;55(3):543–4.

    Article  PubMed  Google Scholar 

  59. Weisshaar E, Gieler U, Kupfer J, Furue M, Saeki H, Yosipovitch G, et al. Questionnaires to assess chronic itch: a consensus paper of the special interest group of the International Forum on the Study of Itch. Acta Derm Venereol. 2012;92(5):493–6.

    Article  PubMed  Google Scholar 

  60. Ingber S, Cohen PD. Successful treatment of refractory aquagenic pruritus with naltrexone. J Cutan Med Surg. 2005;9(5):215–6.

    Article  PubMed  Google Scholar 

  61. Xifra A, Carrascosa JM, Ferrándiz C. Narrow-band ultraviolet B in aquagenic pruritus. Br J Dermatol. 2005;153(6):1233–4.

    Article  CAS  PubMed  Google Scholar 

  62. Spelman L, Dicker T. Aquagenic pruritus relieved by tight fitting clothing. Australas J Dermatol. 2001;42(2):146.

    Article  CAS  PubMed  Google Scholar 

  63. Nowicki A, Woźniak K, Krajnik M. Understanding the purpose of treatment and expectations in patients with inoperable lung cancer treated with palliative chemotherapy. Contemp Oncol Pozn Pol. 2015;19(4):333–7.

    Google Scholar 

  64. Abdel-Naser MB, Gollnick H, Orfanos CE. Aquagenic pruritus as a presenting symptom of polycythemia vera. Dermatol Basel Switz. 1993;187(2):130–3.

    Article  CAS  Google Scholar 

  65. Pieri L, Bogani C, Guglielmelli P, Zingariello M, Rana RA, Bartalucci N, et al. The JAK2V617 mutation induces constitutive activation and agonist hypersensitivity in basophils from patients with polycythemia vera. Haematologica. 2009;94(11):1537–45.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  66. Ishii T, Wang J, Zhang W, Mascarenhas J, Hoffman R, Dai Y, et al. Pivotal role of mast cells in pruritogenesis in patients with myeloproliferative disorders. Blood. 2009;113(23):5942–50.

    CAS  PubMed  Google Scholar 

  67. Daoud MS, Lust JA, Kyle RA, Pittelkow MR. Monoclonal gammopathies and associated skin disorders. J Am Acad Dermatol. 1999;40(4):507–35; quiz 536–8.

    Article  CAS  PubMed  Google Scholar 

  68. Gilbert HS, Warner RR, Wasserman LR. A study of histamine in myeloproliferative disease. Blood. 1966;28(6):795–806.

    CAS  PubMed  Google Scholar 

  69. Jin X, Zhao W, Kirabo A, Park SO, Ho WT, Sayeski PP, et al. Elevated levels of mast cells are involved in pruritus associated with polycythemia vera in JAK2V617F transgenic mice. J Immunol Baltim Md 1950. 2014;193(2):477–84.

    CAS  Google Scholar 

  70. Andersen HH, Elberling J, Arendt-Nielsen L. Human surrogate models of histaminergic and non-histaminergic itch. Acta Derm Venereol. 2015;95(7):771–7.

    CAS  PubMed  Google Scholar 

  71. Akiyama T, Tominaga M, Takamori K, Carstens MI, Carstens E. Roles of glutamate, substance P, and gastrin-releasing peptide as spinal neurotransmitters of histaminergic and nonhistaminergic itch. Pain. 2014;155(1):80–92.

    Article  CAS  PubMed  Google Scholar 

  72. Bircher AJ, Meier-Ruge W. Aquagenic pruritus. Water-induced activation of acetylcholinesterase. Arch Dermatol. 1988;124(1):84–9.

    Article  CAS  PubMed  Google Scholar 

  73. Davis MD, Perniciaro C, Dahl PR, Randle HW, McEvoy MT, Leiferman KM. Exaggerated arthropod-bite lesions in patients with chronic lymphocytic leukemia: a clinical, histopathologic, and immunopathologic study of eight patients. J Am Acad Dermatol. 1998;39(1):27–35.

    Article  CAS  PubMed  Google Scholar 

  74. Nomura T, Kabashima K, Miyachi Y. The panoply of αβT cells in the skin. J Dermatol Sci. 2014;76(1):3–9.

    Article  CAS  PubMed  Google Scholar 

  75. Yao Z, Painter SL, Fanslow WC, Ulrich D, Macduff BM, Spriggs MK, et al. Human IL-17: a novel cytokine derived from T cells. J Immunol Baltim Md 1950. 1995;155(12):5483–6.

    CAS  Google Scholar 

  76. Biggar RJ, Johansen JS, Smedby KE, Rostgaard K, Chang ET, Adami H-O, et al. Serum YKL-40 and interleukin 6 levels in Hodgkin lymphoma. Clin Cancer Res Off J Am Assoc Cancer Res. 2008;14(21):6974–8.

    Article  CAS  Google Scholar 

  77. Lee HL, Eom H-S, Yun T, Kim H-J, Park W-S, Nam B-H, et al. Serum and urine levels of interleukin-8 in patients with non-Hodgkin’s lymphoma. Cytokine. 2008;43(1):71–5.

    Article  CAS  PubMed  Google Scholar 

  78. Singer EM, Shin DB, Nattkemper LA, Benoit BM, Klein RS, Didigu CA, et al. IL-31 is produced by the malignant T-cell population in cutaneous T-Cell lymphoma and correlates with CTCL pruritus. J Invest Dermatol. 2013;133(12):2783–5.

    Article  CAS  PubMed  Google Scholar 

  79. Cevikbas F, Kempkes C, Buhl T, Mess C, Buddenkotte J, Steinhoff M. Role of interleukin-31 and oncostatin M in itch and neuroimmune communication. In: Carstens E, Akiyama T, editors. Itch: mechanisms and treatment [internet]. Boca Raton: CRC Press; 2014. [cité 27 févr 2015]. Disponible sur: http://www.ncbi.nlm.nih.gov/books/NBK200913/.

    Google Scholar 

  80. Möbs M, Gryzik S, Haidar A, Humme D, Beyer M, Vandersee S. Analysis of the IL-31 pathway in Mycosis fungoides and Sézary syndrome. Arch Dermatol Res. 2015;307(6):479–85.

    Article  PubMed  CAS  Google Scholar 

  81. Dawn AG, Yosipovitch G. Butorphanol for treatment of intractable pruritus. J Am Acad Dermatol. 2006;54(3):527–31.

    Article  PubMed  Google Scholar 

  82. Yosipovitch G, Carstens E, McGlone F. Chronic itch and chronic pain: analogous mechanisms. Pain. 2007;131(1–2):4–7.

    Article  PubMed  Google Scholar 

  83. Tefferi A, Lasho TL, Schwager SM, Strand JS, Elliott M, Mesa R, et al. The clinical phenotype of wild-type, heterozygous, and homozygous JAK2V617F in polycythemia vera. Cancer. 2006;106(3):631–5.

    Article  CAS  PubMed  Google Scholar 

  84. Diehn F, Tefferi A. Pruritus in polycythaemia vera: prevalence, laboratory correlates and management. Br J Haematol. 2001;115(3):619–21.

    Article  CAS  PubMed  Google Scholar 

  85. Easton P, Galbraith PR. Cimetidine treatment of pruritus in polycythemia vera. N Engl J Med. 1978;299(20):1134.

    CAS  PubMed  Google Scholar 

  86. Roberts DL. Cimetidine for pruritus related to systemic disorders. Br Med J. 1980;280(6211):405.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  87. Weick JK, Donovan PB, Najean Y, Dresch C, Pisciotta AV, Cooperberg AA, et al. The use of cimetidine for the treatment of pruritus in polycythemia vera. Arch Intern Med. 1982;142(2):241–2.

    Article  CAS  PubMed  Google Scholar 

  88. Bonkowski J, Vermeulen LC, Kolesar JM. The clinical utility of lenalidomide in multiple myeloma and myelodysplastic syndromes. J Oncol Pharm Pract Off Publ Int Soc Oncol Pharm Pract. 2010;16(4):223–32.

    Article  CAS  Google Scholar 

  89. Gonçalves F. Thalidomide for the control of severe paraneoplastic pruritus associated with Hodgkin’s disease. Am J Hosp Palliat Care. 2010;27(7):486–7.

    Article  PubMed  Google Scholar 

  90. Ehrchen J, Ständer S. Pregabalin in the treatment of chronic pruritus. J Am Acad Dermatol. 2008;58(2 Suppl):S36–7.

    Article  PubMed  Google Scholar 

  91. Davis MP, Frandsen JL, Walsh D, Andresen S, Taylor S. Mirtazapine for pruritus. J Pain Symptom Manage. 2003;25(3):288–91.

    Article  PubMed  Google Scholar 

  92. Tefferi A, Fonseca R. Selective serotonin reuptake inhibitors are effective in the treatment of polycythemia vera-associated pruritus. Blood. 2002;99(7):2627.

    Article  CAS  PubMed  Google Scholar 

  93. Ständer S, Schneider SW, Weishaupt C, Luger TA, Misery L. Putative neuronal mechanisms of sensitive skin. Exp Dermatol. 2009;18(5):417–23.

    Article  PubMed  Google Scholar 

  94. Zylicz Z, Krajnik M, van Sorge AA, Costantini M. Paroxetine in the treatment of severe non-dermatological pruritus: a randomized, controlled trial. J Pain Symptom Manage. 2003;26(6):1105–12.

    Article  CAS  PubMed  Google Scholar 

  95. Wang H, Yosipovitch G. New insights into the pathophysiology and treatment of chronic itch in patients with end-stage renal disease, chronic liver disease, and lymphoma. Int J Dermatol. 2010;49(1):1–11.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  96. Ständer S, Luger TA. NK-1 antagonists and itch. Handb Exp Pharmacol. 2015;226:237–55.

    Article  PubMed  CAS  Google Scholar 

  97. Torres T, Fernandes I, Selores M, Alves R, Lima M. Aprepitant: evidence of its effectiveness in patients with refractory pruritus continues. J Am Acad Dermatol. 2012;66(1):e14–5.

    Article  PubMed  Google Scholar 

  98. Baldo A, Sammarco E, Plaitano R, Martinelli V, Monfrecola. Narrowband (TL-01) ultraviolet B phototherapy for pruritus in polycythaemia vera. Br J Dermatol. 2002;147(5):979–81.

    Article  CAS  PubMed  Google Scholar 

  99. Kaptanoglu AF, Oskay T. Ultraviolet B treatment for pruritus in Hodgkin’s lymphoma. J Eur Acad Dermatol Venereol JEADV. 2003;17(4):489–90.

    Article  CAS  PubMed  Google Scholar 

  100. Cozzani E, Iurlo A, Merlo G, Cattaneo D, Burlando M, Pierri I, et al. Essential thrombocythemia: the dermatologic point of view. Clin Lymphoma Myeloma Leuk. 2015;15:739–47.

    Article  PubMed  Google Scholar 

  101. Goodkin R, Bernhard JD. Repeated PUVA treatment of aquagenic pruritus. Clin Exp Dermatol. 2002;27(2):164–5.

    Article  CAS  PubMed  Google Scholar 

  102. May LP, Kelly J, Sanchez M. Hypereosinophilic syndrome with unusual cutaneous manifestations in two men with HIV infection. J Am Acad Dermatol. 1990;23(2 Pt 1):202–4.

    Article  CAS  PubMed  Google Scholar 

  103. van den Hoogenband HM, van den Berg WH, van Diggelen MW. PUVA therapy in the treatment of skin lesions of the hypereosinophilic syndrome. Arch Dermatol. 1985;121(4):450.

    Article  PubMed  Google Scholar 

  104. Tinegate H, McLelland J. Transcutaneous electrical nerve stimulation may improve pruritus associated with haematological disorders. Clin Lab Haematol. 2002;24(6):389–90.

    Article  CAS  PubMed  Google Scholar 

  105. Herman-Kideckel SM, Binkley K. Successful treatment of aquagenic pruritus with montelukast. J Cutan Med Surg. 2012;16(3):151–2.

    CAS  PubMed  Google Scholar 

  106. Lotti T, Teofoli P, Tsampau D. Treatment of aquagenic pruritus with topical capsaicin cream. J Am Acad Dermatol. 1994;30(2 Pt 1):232–5.

    Article  CAS  PubMed  Google Scholar 

  107. Chanarin I, Szur L. Letter: relief of intractable pruritus in polycythaemia rubra vera with cholestyramine. Br J Haematol. 1975;29(4):669–70.

    Article  CAS  PubMed  Google Scholar 

  108. Fitzsimons EJ, Dagg JH, McAllister EJ. Pruritus of polycythaemia vera: a place for pizotifen? Br Med J (Clin Res Ed). 1981;283(6286):277.

    Article  CAS  Google Scholar 

  109. Nosbaum A, Pecquet C, Bayrou O, Amsler E, Nicolas JF, Bérard F, et al. Treatment with propranolol of 6 patients with idiopathic aquagenic pruritus. J Allergy Clin Immunol. 2011;128(5):1113.

    Article  PubMed  Google Scholar 

  110. Leven A, Naysmith A, Pickens S, Pottage A. Sodium cromoglycate and Hodgkin’s pruritus. Br Med J. 1977;2(6091):896.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Christelle Le Gall-Ianotto PhD .

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Le Gall-Ianotto, C., Misery, L. (2016). Pruritus in Hematological Diseases (Including Aquagenic Pruritus). In: Misery, L., Ständer, S. (eds) Pruritus. Springer, Cham. https://doi.org/10.1007/978-3-319-33142-3_36

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