肛门瘙痒
Pruritus ani.
作者信息
Song Seok-Gyu, Kim Soung-Ho
机构信息
Department of Coloproctology, Seoul Song Do Colorectal Hospital, Seoul, Korea.
出版信息
J Korean Soc Coloproctol. 2011 Apr;27(2):54-7. doi: 10.3393/jksc.2011.27.2.54. Epub 2011 Apr 30.
Pruritus ani is an unpleasant cutaneous sensation that induces the desire to scratch the skin around the anal orifice. It may start insidiously and appears in 1% to 5% of the population. It is classified as primary (idiopathic) pruritus ani when no cause can be found. However, as 25% to 75% of cases have co-existing pathology, a detailed history and examination are necessary. The goal of treatment is asymptomatic, intact, dry, clean perianal skin with reversal of morphological changes. The management of pruritus ani is directed towards the underlying cause. If the diagnosis is idiopathic pruritus ani, the patients can still be managed with great success by eliminating of irritants and scratching, by giving general advice regarding hygiene and lifestyle modification and by using active treatment measures.
肛门瘙痒是一种令人不适的皮肤感觉，会引发搔抓肛门周围皮肤的欲望。它可能隐匿起病，在1%至5%的人群中出现。当找不到病因时，它被归类为原发性（特发性）肛门瘙痒。然而，由于25%至75%的病例存在并存的病理状况，详细的病史和检查是必要的。治疗的目标是使肛周皮肤无症状、完整、干燥、清洁，并逆转形态学改变。肛门瘙痒的治疗针对潜在病因。如果诊断为特发性肛门瘙痒，通过消除刺激物和搔抓行为、提供有关卫生和生活方式改变的一般性建议以及采取积极的治疗措施，患者仍可获得巨大成功。
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