Psychogenic itch

Miséry, Laurent; Dutray, Sabine; Chastaing, M.; Schöllhammer, M.; Consoli, S; Consoli, Silla M.

doi:10.1038/s41398-018-0097-7

Cited by 57 publications

(42 citation statements)

References 54 publications

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“…In light of the above-mentioned points, we cannot exclude the possibility that the patient’s psychological stress could have had an influence on the subjective perception of pruritus, worsening it. However, we believe that in the case of our patient, the role of stress in exacerbating her symptoms was limited, and an alternative diagnosis, such as psychogenic itch, is extremely unlikely [ 31 ]. The patient did not have any personal or family history of mental illness, and the screening questionnaire performed during the follow up period for major depressive disorder showed only borderline results [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

An itchy erythematous papular skin rash as a possible early sign of COVID-19: a case report

et al. 2020

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Background Several recent studies suggest the possibility of a skin rash being a clinical presentation of coronavirus disease 2019 (COVID-19). The purpose of this case report is to bring attention to skin manifestations in the early stage of COVID-19 in order to support frontline physicians in their crucial activity of case identification. Case presentation The patient is an Italian 32-year-old female nurse who had several close contacts with multiple patients with COVID-19 as part of her professional workload. On March 13, 2020, the patient developed an itchy, erythematous papular rash (sparing only her face, scalp, and abdomen), which lasted for 10 days. The rash was accompanied by a feeling of general fatigue that gradually worsened over the following days and has continued for 5 months (until the end of July 2020). During the first week of remote assessment carried out by her general practitioner, the patient gradually developed a dry cough, intermittent fever, and diarrhoea and then had a positive test result for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Her skin manifestations disappeared completely 48 days after the onset of the disease, followed by the disappearance of the dry cough. Conclusions In light of recent studies, this case report suggests that skin manifestations, when taken into account with other situational factors (such as profession and patient history) should be taken into proper consideration by frontline physicians as possibly being caused by SARS-CoV-2. Early identification of COVID-19 is a key part of the strategy of case detection and case isolation. To enhance this activity, further research is needed to establish frequency, symptoms, signs, and pathogenesis of skin manifestations in patients with COVID-19.

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Section: Discussionmentioning

confidence: 99%

An itchy erythematous papular skin rash as a possible early sign of COVID-19: a case report

et al. 2020

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“…It is also possible that the patient experienced psychogenic itch. According to Misery et al,5 patients who scored higher on depression measures reported higher degrees of pruritus when compared to those who were not depressed.…”

Section: Discussionmentioning

confidence: 99%

Pruritus associated with abrupt mirtazapine discontinuation: Single case report

Spitznogle¹,

Gerfin²

2019

Mental Health Clinician

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It is well known that antidepressants have the potential to cause withdrawal symptoms upon abrupt discontinuation. At the time of this case report, no literature has identified intense, body-wide pruritus as a result of abrupt mirtazapine discontinuation. However, there is literature to suggest that mirtazapine may be used as a treatment for pruritus at doses as low as 15 mg/d due to its high affinity for central and peripheral histamine H1 receptors. Considering this information, it is suspected that the abrupt discontinuation of mirtazapine in the following patient case resulted in pruritus due to the reversal of antagonism at histamine receptors.

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“…É caracterizado na literatura como o ato de coçar a pele sem haver qualquer alteração e etiologia presentes [13]. Pode ser agravado ou desencadeado pelo estresse, ocorrendo uma liberação direta de neurotransmissores inflamatórios pelo sistema nervoso central [15]. O ato de arrancar cabelos repetitivamente (tricotilomania), apesar de ser considerado um dos transtornos compulsivos mais comuns por Gieler et al [16], teve uma frequência de 5% no estudo, sendo estimado como baixo em relação às outras DP já relatadas.…”

Section: I S C U S S ã Ounclassified

Dermatoses psicossomáticas em estudantes da área da saúde

Meneguetti¹,

Soares²,

Rosvailer³

et al. 2020

Rev. Ciênc. Méd.

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ObjetivoEste artigo almejou comparar a frequência de dermatoses psicossomáticas e a qualidade de vida de estudantes universitários da área de saúde.MétodosNeste estudo analítico, transversal e quantitativo, foram aplicados dois questionários on-line para estudantes da saúde: World Health Organization Quality of Life Scale Abbreviated Version, para avaliar a qualidade de vida, e outro elaborado pelos pesquisadores para analisar a frequência de oito psicodermatoses e sua relação com o estresse, o desconforto com as lesões e a busca pela ajuda médica ou psicológica. Para aferir a relação entreas dermatoses psicossomáticas e a qualidade de vida, foi considerado p<0,05 do teste qui-quadrado.Resultados Participaram do estudo 608 estudantes. A dermatose mais frequente foi escoriação (37,99%), seguida de retirada de cutícula, mordida em lábios e bochechas (32,40%) e prurido psicogênico (14,63%), sendo a automutilação a com menor frequência (1,15%). Dos que tiveram alguma dermatose psicossomática, 82,33% acreditam que estão relacionadas ao estresse acadêmico, 66,20% se sentem desconfortáveis, e 43,45% já buscaram ajuda médica ou psicológica. A qualidade de vida foi considerada boa por 92,76% no domínio físico, 95,72% no meio ambiente, 88,81% no psicológico e 88,89% nas relações sociais. Houve associação entre a queda da qualidade de vida no domínio físico e a frequência das dermatoses psicossomáticas retirada de cutícula, mordida em lábios ou bochechas (p=0,001), tricotilomania (p=0,055) e prurido psicogênico (p=0,0009); e, no psicológico, com retirada de cutícula, mordida de lábios ou bochechas (p=0,059), escoriações (p=0,087) e prurido psicogênico (p=0,002).Conclusão Dermatoses psicossomáticas são encontradas em mais de 30% dos estudantes; porém, sua associação com a queda de qualidade de vida não pode ser confirmada.

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Psychogenic itch

Cited by 57 publications

References 54 publications

An itchy erythematous papular skin rash as a possible early sign of COVID-19: a case report

An itchy erythematous papular skin rash as a possible early sign of COVID-19: a case report

Pruritus associated with abrupt mirtazapine discontinuation: Single case report

Dermatoses psicossomáticas em estudantes da área da saúde

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