For our latest podcast, Dr. Dimitre is itching to talk about itching! Pruritus is a challenging presentation for two reasons. Firstly, the differential is broad encompassing conditions both benign and malignant. Secondly, the patient is often suffering and looking for a quick solution to his problem. It is thus important to have a clear and efficient approach.
Generally, the differential can be divided into dermatological causes, which are many, and systemic causes, which are usually concerning. Consider that Hodgkin lymphoma has a strong association pruritus, which occurs in up to 30 percent of patients with the disease. Consider also that generalized itching in an older individual is considered a red flag for a serious medical issue. Prompt bloodwork and close follow up is highly suggested in those individuals.
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Posted on 28/03/2018 by Dr. Dimitre