Department of Abdominal and General Surgery and Oncology, National Cancer Institute, Santariskiu Str. 1, 08406, Vilnius, Lithuania.
SMK University of Applied Social Sciences, Vilnius, Lithuania.
Eur J Med Res. 2023 Feb 2;28(1):57. doi: 10.1186/s40001-023-01018-5.
The without a time limitation. Most recent search was performed on 1st June 2022.
Thorough history and physical examination are very important in view of multiple possible causes of anal pruritus. Most of the focus during examination is drawn on to the perianal region. A digital rectal examination and an anoscopy are essential. It is necessary aim of this narrative review is to overview the classification, diagnostics, possible treatment options and future perspective of anal pruritus.
The search was performed by two authors (AD and MJ) independently in the following electronic databases: PubMed, EMBASE, Web of Science, Cochrane Library, CENTRAL and the Allied and Complementary Medicine Databases (AMED). Search was restricted to English language only to avoid moisture and the use of soaps in the perianal region. Furthermore, the patient should avoid certain foods and increase the intake of fiber. If the symptoms do not resolve, topical steroids, capsaicin (0.006%) and tacrolimus (0.1%) ointments may be used. For intractable cases, intradermal methylene blue injection might give a long-lasting symptom relief.
Anal pruritus is a long-term deteriorating quality of life issue. Most of the time it is a symptom with a difficult diagnosis. Thorough history and examination should be performed for the best possible treatment.
无时间限制。最近的搜索时间为 2022 年 6 月 1 日。
鉴于肛门瘙痒有多种可能的原因，全面的病史和体格检查非常重要。检查时的大部分重点都集中在肛周区域。直肠指检和肛门镜检查是必不可少的。本叙述性综述的目的是概述肛门瘙痒的分类、诊断、可能的治疗选择和未来展望。
两名作者（AD 和 MJ）独立在以下电子数据库中进行了搜索：PubMed、EMBASE、Web of Science、Cochrane 图书馆、CENTRAL 和补充与替代医学数据库（AMED）。仅搜索英文文献，以避免肛周潮湿和使用肥皂。此外，患者应避免某些食物，增加纤维摄入。如果症状没有缓解，可以使用局部类固醇、辣椒素（0.006%）和他克莫司（0.1%）软膏。对于难治性病例，皮内亚甲蓝注射可能会提供持久的症状缓解。
肛门瘙痒是一个长期恶化生活质量的问题。大多数时候，它是一种难以诊断的症状。为了获得最佳治疗效果，应进行全面的病史和检查。
