Functional Itch Disorder or Psychogenic Pruritus: Suggested Diagnosis Criteria From the French Psychodermatology Group

Miséry, Laurent; Alexandre, Sophie; Dutray, Sabine; Chastaing, M.; Consoli, S; Audra, Hubert; Bauer, Domitille; Bertolus, Sylviane; Callot, Valérie; Cardinaud, Fabienne; Corrin, Eliane; Feton-Danou, N.; Malet, Robert; Touboul, Sylviane; Consoli, Silla M.

doi:10.2340/00015555-0266

Cited by 84 publications

(52 citation statements)

References 24 publications

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“…15 Patients may give a history of a clear time-relation between taking the drug and the onset of pruritus, although there is occasionally a delay of several weeks or even months. 2 A wide range of drugs has been reported to cause pruritus, 13 as listed in Table 5. 15 The common culprits are aspirin, opioids, angiotensin-converting enzyme (ACE) inhibitors and statins.…”

Section: Evaluation Of Pruritus In Older Peoplementioning

confidence: 99%

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Pruritus in older people

2013

Rev. Clin. Gerontol.

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Pruritus in older people is caused by a wide range of dermatological, systemic, neurological and psychogenic diseases. It can also be attributed to various cutaneous drug reactions. The dermatological, neurological and immunological changes associated with ageing predispose older people to pruritus of a wide range of aetiologies. The most common cause of pruritus in older people is xerosis, or dry skin. Regular use of emollients is the mainstay of treatment for pruritus of any cause, with general measures aiming to ensure optimal skin hydration and to prevent the itch-scratch cycle. Topical treatments are generally better tolerated for localized pruritus. Anti-histamines are the predominant agents to treat pruritus, but can be inadequate in many cases. Numerous other systemic agents have been demonstrated to alleviate pruritus depending on the cause, but may be limited by their adverse effects. This article reviews the current published literature on pruritus in older people, with a practical approach to its evaluation and management in non-specialist settings.

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Section: Evaluation Of Pruritus In Older Peoplementioning

confidence: 99%

“…2,11 The French Psychodermatology Group has proposed diagnostic criteria for psychogenic pruritus, as shown in Table 3. 13 Table 4 displays the causes of psychogenic pruritus. 11,14 Drug-induced pruritus is usually acute, lasting less than 6 weeks.…”

Section: Evaluation Of Pruritus In Older Peoplementioning

confidence: 99%

Pruritus in older people

2013

Rev. Clin. Gerontol.

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“…Misery et al [15] proposed in 2007 diagnostic criteria of itching according to the French Psychodermatologic Group (FPDG). They defined three criteria of compulsive behaviours: general itching without primary changes on the skin, the itching lasts for more than 6 weeks, somatic reasons for this ailment were excluded.…”

Section: Discussionmentioning

confidence: 99%

Psychodermatologic disorders: and review of literature

Bergler‐Czop¹,

Brzeźińska-Wcisło²

2012

pdia

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A Ad dd dr re es ss s f fo or r c co or rr re es sp po on nd de en nc ce e: : Beata Bergler-Czop MD, PhD, 2 A Leśna St, 42-624 Ossy, Poland, phone/fax: +48 32 284 08 77, e-mail: bettina2@tlen.pl Case report A b s t r a c t Psychodermatologic disorders are a non-homogenous group, in which both psychological and dermatological components are present. Active co-operation between the dermatologist and the psychiatrist is necessary in all abovementioned disorders since patients first appear in dermatologic clinics. Dermatological treatment is exclusively symptomatic, since most of all, these patients require special psychiatric treatment, both pharmacological and psychotherapeutic. Here we present three cases of parasitophobia combined with factitial dermatosis and one case of self-injury in patients, in whom diagnosis of psychodermatosis was preceded by long-term and detailed diagnostic procedures for classical dermatological disorders. One should always remember about dermatitis artefacta in patients, in whom there is no positive response to treatment, and the clinical picture as well as results of additional tests comprise no logical whole picture.K Ke ey y w wo or rd ds s: : psychodermatology, parasitophobia, factitial dermatosis.

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“…Kaşımaya yol açan ve hoşa gitmeyen bir duygu olarak tanımlanan kaşıntı, dermatolojik hastalıkların en sık saptanan semptomu olarak karşımıza çıkmaktadır 1 . Özellikle deri döküntüsü olmaksızın ortaya çıkan kronik kaşıntı (KK), dermatologlar için tanı ve tedavide zorluk yaratmaktadır 2 .…”

Section: Introductionunclassified

“…Fransız Psikodermatoloji Grubu (FPDG), yakın zamanda FP için tanı kriterlerini belirlemiş ve psikolojik faktörlerin gerek tetikleyici olarak rol oynadığı, gerekse kaşıntıyı şiddetlendirip kronikleştirdiği KK'nın FP adı altında yeni bir kimlik kazanmasını sağlamıştır. Ayrıca FP'nin Diagnostic and Statistical Manuel of Mental Disorder Fifth Edition (DSM-IV) de tanımlanmamış somatoform bozukluklar içerisinde değerlendirilmesini önermiştir 1,8 . Dolayısıyla FP yeni ve güncel bir kavram olarak idyopatik pruritusun yerini almaktadır.…”

Section: Introductionunclassified