瘙痒患者的诊断检查

Diagnostic Work-up of the Itchy Patient.

作者信息

Elmariah Sarina B

机构信息

Massachusetts General Hospital, Boston, MA 02114, USA.

出版信息

Dermatol Clin. 2018 Jul;36(3):179-188. doi: 10.1016/j.det.2018.02.002. Epub 2018 Apr 27.

DOI:10.1016/j.det.2018.02.002

PMID:29929591

Abstract

Pruritus is a common and troubling symptom associated with many dermatologic, systemic, neurologic, or psychiatric disorders. This article reviews the current understanding of the pathogenesis of itch and offers a differential diagnosis for the causes of chronic pruritus. The article discusses key diagnostic steps and considerations when evaluating patients with chronic pruritus.

摘要

瘙痒是一种常见且令人困扰的症状，与许多皮肤病、全身性疾病、神经疾病或精神疾病相关。本文综述了目前对瘙痒发病机制的认识，并对慢性瘙痒的病因进行鉴别诊断。本文讨论了评估慢性瘙痒患者时的关键诊断步骤和注意事项。