FREQUENCY AND AETIOLOGY OF PRURITIS IN ADMITTED PATIENTS IN A MEDICAL WARD OF MAYO HOSPITAL, LAHORE
Abstract
Background: Prutitis or itching is a common complaint. It can be due to many dermatological and medical illnesses. This study was conducted to find out presence of pruritis in different diseases in patients admitted in a medical ward and to determine whether pruritis is more common due to medical causes or dermatological causes. Methods: All patients admitted in North Medical Ward, Mayo Hospital, Lahore during March 2002 to November 2002 were included in the study. Complete medical history especially history of pruritis was taken. Physical examination was performed to diagnose the primary illness and to find cause of pruritis when present. Results: 740 patients were included in the study. Sixty (8.1%) patients complained of pruritis. 5.4% had pruritis due to skin conditions. 2.7% had pruritis due to medical illnesses. Conclusion: The patients admitted in medical ward are having pruritis mainly due to medical diseases but skin conditions should not be ignored.KEY WORDS: Pruritis, itching, scabiesReferences
Botero F. Pruritus as a manifestation of systemic disorders. Cutis 1978; 21: 873-80.
Denman ST. A review of pruritis. J Am Acad Dermatol 1986; 14(3): 375-92.
Kantor GR, Looking bill DP. Generalized pruritis and systemic disease. J Am Acad Dermatol 1983; 9: 375-82.
Krajnik M, Zylicz Z. Understanding pruritis in systemic disease. J Pain Symptom Manage 2001; 21: 151-68.
Ekbolom A. Some neurophysiological aspects of itch – Semin Dermatol 1995; 14: 262-270.
Tuckett RP. Neurophysiology and neuroanatomy of pruritis. In: Bernhard JD et al. Itch: Mechanism and management of pruritis. New York: Mcgraw-Hill 1994:1.
Yosipovitch G, Goon A, Wee J, Chan YH, Goh CL. The prevalence and clinical characteristics of pruritis among patients with extensive psoriasis. Br J Dermatol 2000; 143(5): 969-73.
Murphy M, Carmichael AJ. Renal itch. Clin Exp Dermatol 2000; 25: 103-6.
Robertson KE. Uremic pruritis. Am J Health Syst Pharm 1996;(53): 18: 2159-70.
McGill JM, Kwiat Kowski AP. Cholestatic liver disease in adults. Am J Gastroenterol 1998; 93: 684-91.
Jones EA, Bergasa NV. Evolving concepts of the pathogenesis and treatment of the pruritis of cholestasis. Can J Gastroenterol 2000; 14: 33-44.
Scribner M. Diabetes and pruritis of the scalp. JAMA 1997; 237:1559-61.
Hagemark O, Wahlgren C. Treatment of itch. Semin Dermatol 1995; 14: 320-5.
Lober CW. Should the patient with generalized pruritis be evaluated for malignancy? J Am Acad Dermatol 1988; 19: 350-2.
Kantor GR, Bernhard J. Investigation of the pruritic patient in daily practice. Semin Dermatol 1995;14:290-6.
Nowak MA, Tsoukas MM, Delmus FA, Falangov, Brodell RT. Generalized pruritis without primary lesions. Differential diagnosis and approach to treatment. Postgrad Med 2000; 107(2): 41-2 45-6.
Downloads
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.