Wolf R, Krakowski A
Department of Dermatology, Ichilov Medical Center, Tel Aviv, Israel.
J Am Acad Dermatol. 1988 May;18(5 Pt 1):1081-3. doi: 10.1016/s0190-9622(88)70110-3.
We report our experience in the treatment of two patients with aquagenic pruritus of the elderly and two patients with aquagenic pruritus. Our findings confirm previous reports by others indicating that aquagenic pruritus is not one homogenous entity but rather is composed of two similar but distinct entities, each of which responds to a different treatment. Patients with aquagenic pruritus were helped by adding sodium bicarbonate to the bath water while patients with aquagenic pruritus of the elderly responded to emollients. It is suggested that aquagenic pruritus and aquagenic pruritus of the elderly are two similar but distinct entities. Separating these two entities provides the key to successful treatment, because each of them responds to a different treatment without crossover. This report is only the second report indicating the effectiveness of sodium bicarbonate baths in patients with aquagenic pruritus. It is clear that further examples are needed to confirm these findings.
我们报告了治疗两名老年水源性瘙痒患者和两名水源性瘙痒患者的经验。我们的研究结果证实了其他人之前的报告，表明水源性瘙痒并非单一的同质实体，而是由两个相似但不同的实体组成，每个实体对不同的治疗有反应。水源性瘙痒患者通过在 bath 水中添加碳酸氢钠得到缓解，而老年水源性瘙痒患者对润肤剂有反应。提示水源性瘙痒和老年水源性瘙痒是两个相似但不同的实体。区分这两个实体是成功治疗的关键，因为它们各自对不同的治疗有反应且无交叉。本报告是第二篇表明碳酸氢钠 bath 对水源性瘙痒患者有效的报告。显然，需要更多实例来证实这些发现。
