Frese Thomas, Herrmann Kristin, Sandholzer Hagen
Department of Primary Care, Leipzig Medical School, Leipzig, Germany.
J Clin Med Res. 2011 Oct;3(5):223-9. doi: 10.4021/jocmr632w. Epub 2011 Sep 26.
Pruritus is a common reason for consulting the general practitioner. Data from a primary care setting have seldom been published. The goal of the recent investigation was to characterize the consultation prevalence of pruritus, frequency of diagnostic and therapeutic procedures, accompanying symptoms and results of encounter or diagnoses of patients with pruritus.
Cross-sectional data were collected from randomly selected patients during the SESAM 2 study and compared with unpublished but publicly available data from the Dutch Transition Project and the published Australian BEACH study data.
Overall 64 of the 8,877 patients from the SESAM 2 study consulted a physician for pruritus. The male to female ratio was 1.0 : 1.3. Pruritus was more frequent in children and people aged over 75 years. Physical examination was performed in all patients. Further diagnostic measures were seldom necessary. Drugs were prescribed in 84% of the cases. Allergic contact eczema and infectious diseases of the skin were the most frequent results of encounter or diagnoses. Medical adverse effects and allergic reactions should be considered as causes of pruritus. We found no significant association to systemic diseases.
In a primary care setting, pruritus occurs regularly. It is associated to (infectious) skin diseases. Acute dangerous courses are rare.
Pruritus; Itch; General practice; Primary care; Reason for encounter.
瘙痒是患者咨询全科医生的常见原因。来自基层医疗环境的数据很少被发表。近期这项调查的目的是描述瘙痒的就诊患病率、诊断和治疗程序的频率、伴随症状以及瘙痒患者的就诊或诊断结果。
在SESAM 2研究期间，从随机选择的患者中收集横断面数据，并与荷兰过渡项目未发表但公开可用的数据以及已发表的澳大利亚BEACH研究数据进行比较。
SESAM 2研究的8877名患者中，共有64名因瘙痒咨询医生。男女比例为1.0:1.3。瘙痒在儿童和75岁以上人群中更为常见。所有患者均进行了体格检查。很少需要进一步的诊断措施。84%的病例开具了药物。过敏性接触性皮炎和皮肤传染病是最常见的就诊或诊断结果。药物不良反应和过敏反应应被视为瘙痒的原因。我们未发现与全身性疾病有显著关联。
在基层医疗环境中，瘙痒经常发生。它与（感染性）皮肤病有关。急性危险病程很少见。
瘙痒；痒；全科医疗；基层医疗；就诊原因
