race to be white/Caucasian (77%), 39 (7%) Black/African American and 21 (4%) Asian. Overall, 54% were non-Hispanic and 40% Hispanic. Our data showed a positive correlation between the WI-NRS and AI-NRS (r = 0Á66), and upon categorical grouping of AI-NRS, higher severity corresponded to a higher mean rating of WI-NRS (P < 0Á001) (Table 1). Mean AI-NRS and mean WI-NRS significantly differed with itch duration, with those reporting itch ≥ 9 h per day rating significantly higher scores for both AI-NRS and WI-NRS than those reporting itch for < 5 h per day (P < 0Á05). This result may be expected for AI-NRS, but it also suggests that reported WI-NRS may inadvertently be affected by itch duration, perhaps due to the patient's cumulative time experiencing itch affecting their perceived intensity. Those with mild-to-moderate WI-NRS but a long duration of itch reported a mean AI-NRS of 4Á3, while those with severe or very severe WI-NRS with a short duration of itch reported a mean AI-NRS of 5Á8, both in the moderate severity range. This suggests that AI-NRS, as it incorporates waxing and waning of symptoms, represents a more comprehensive reflection of the patient's itch intensity. By understanding the relationships between these scales, clinicians can better interpret the reported severity of itch and utilize an NRS that best reflects the patient's experience.