Prurigo: A clinical review

Jorizzo, Joseph L.; Gatti, Simona; Smith, Edgar B.

doi:10.1016/s0190-9622(81)80205-8

Cited by 59 publications

(61 citation statements)

References 20 publications

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“…Prurigo nodularis and PLE/PLE-like lesions are increased in patients with an atopic diathesis. [8] However, both dermatoses are not associated with lesional vasculitis. Histologic study of prurigo nodularis in 136 patients showed vasculitis only in one.…”

Section: Discussionmentioning

confidence: 99%

Parthenium dermatitis manifesting clinically as polymorphic light eruption and prurigo nodularis- like lesions with vasculitis-like picture on histopathology

Lakshmi

Srinivas

Pillai

et al. 2011

Indian Dermatol Online J

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Parthenium dermatitis is a widespread and distressing dermatoses in rural and urban India caused by the air borne allergen of the Compositae weed Parthenium hysterophorus. Parthenium dermatitis has been thought to be mediated solely by type IV hypersensitivity, but recently a combined immediate (type I) and delayed (type IV) hypersensitivity mechanism has been postulated in the initiation and perpetuation of parthenium dermatitis, especially in sensitized subjects with an atopic diathesis. Initially, the exposed sites of the body are involved. Later in the course of the disease, unexposed sites may get involved. Various clinical presentations have been described in parthenium dermatitis. Typically, it presents as an air borne contact dermatitis (ABCD) involving the eyelids and nasolabial folds Other presentations include a photodermatitis (essentially a pseudo photodermatitis), atopic dermatitis, seborrheic dermatitis, exfoliative dermatitis, hand dermatitis. Photosensitive lichenoid dermatitis and prurigo nodularis are rarer presentations. Uncommon presentations have been described in parthenium dermatitis. They include prurigo nodularis-like lesions and photosensitive lichenoid eruption. Three cases are presented, two of whom presented as polymorphic-like lesions and one as prurigo nodularis. All three patch tested positive to parthenium on Day 2. Prick testing was positive in two of the three patients. Parthenium dermatitis mimicking polymorphic light eruption has not been reported. Histopathology revealed vasculitis in the lesional skin in two of the patients. Although leukocytoclastic vasculitis has been reported earlier from the prick-tested site, this is the first report demonstrating the presence of vasculitis in lesional skin of parthenium dermatitis.

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Section: Discussionmentioning

confidence: 99%

Parthenium dermatitis manifesting clinically as polymorphic light eruption and prurigo nodularis- like lesions with vasculitis-like picture on histopathology

Lakshmi

Srinivas

Pillai

et al. 2011

Indian Dermatol Online J

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“…Le prurigo aigu est généralement de cause parasitaire : parasitose externe le plus souvent (gale, poux, puces, piqûres d'insectes) ou parasitose interne (filariose, onchocercose, schistosomiase, trichinose, distomatose, toxocarose, strongyloï-diase, etc.). Le prurigo strophulus (figure 3) est une cause de prurigo aigu particulièrement fréquente chez l'enfant de 2 à 7 ans, et est dû à une hypersensibilité cellulaire retardée à des parasites de l'environnement [2,3]. Le prurigo aigu ne nécessite généralement pas d'examens complémentaires.…”

Section: Prurigo Aiguunclassified

“…Les dermatoses pouvant être en cause sont nombreuses (tableau I), la plus fréquente étant la dermatite atopique [3][4][5][6][7][8]. Tanaka et al ont restreint en 1995, dans une étude sur 31 patients, le prurigo nodulaire en 2 sous-groupes : prurigo atopique (65 % des patients), et prurigo non atopique (35 %) des cas [8].…”

Section: Prurigo Chronique Avec Lésions Cutanées Associéesunclassified

Les prurigos

Maruani¹,

Samimi²,

Lorette³

2009

La Presse Médicale

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“…Several authors consider the pruriginous nodules the result of scratching or excoriations of the skin. In this context, a distinct itch was postulated as an artificial, 'stress-conditioned' overreaction [7,8]. By analyzing two case reports, we present detailed aspects of the psychopathology in prurigo nodularis.…”

Section: Introductionmentioning

confidence: 99%

Psychosomatic Aspects of Prurigo nodularis – Psychodynamics of Two Cases

Hockmann¹,

Ständer²,

Metze³

et al. 2000

Dermatol Psychosom

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Based on a psychodynamic interpretation of two case reports, prurigo nodularis is defined as multicausal skin disorder of the elderly. We consider this disease a semi-artifact. Specific neurotic conflicts, generally with depressive symptomatology, center on an altruistic conception of life. From a psychoeconomic perspective this entails self-sacrifice, insufficient self-actualization, and repression and inhibition of aggressive impulses. Psychotherapeutic exploration frequently does not occur until decades after the onset of the illness. Our discussion addresses ‘specificity’ in psychosomatic medicine. We encourage dermatologists interested in psychosomatic phenomena to pay attention specifically to early experiences of loss and separation, as well as strain and excessive demands in the life of patients suffering from prurigo nodularis. Such experiences tend to be minimized due to the altruistic orientation of these patients. The primary manifestation and the actual conflict can be utilized to reconfigure the history of neurotic conflicts.

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Prurigo: A clinical review

Cited by 59 publications

References 20 publications

Parthenium dermatitis manifesting clinically as polymorphic light eruption and prurigo nodularis- like lesions with vasculitis-like picture on histopathology

Parthenium dermatitis manifesting clinically as polymorphic light eruption and prurigo nodularis- like lesions with vasculitis-like picture on histopathology

Les prurigos

Psychosomatic Aspects of Prurigo nodularis – Psychodynamics of Two Cases

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