What is the anogenital pruritus? Into directory a to z medical environment

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What is the anogenital pruritus? Into directory a to z medical environment

It is an unpleasant sensation that provokes a desire to scratch. It is a primary sensory impulse is transported by unmyelinated C fibers in the spinothalamic pathway.

What causes it?

In most patients no obvious factor, although multiple known specific causes. Overall anogenital pruritus may have the same origin as intertrigo, lichen simplex chronicus, seborrhoeic dermatitis, contact dermatitis (soaps, colognes, showers, contraceptives) or due to irritating secretions, leukorrhea, diarrhea, trichomoniasis, etc. .

It may be due to lack of cleanliness. Also it has been thought that the endopeptidases fecal bacteria play a causal role in pruritus ani.
In women is rare vulvar pruritus ani and does not usually affect the anal area, although the anal often spreads to the vulva.

In men scrotal pruritus is less common than anal.

SYMPTOMS

The only symptom is itching, especially at night, there is usually no physical data, but you can find erythema, cracking, maceration, lichenification, excoriation or changes consistent with candidiasis or tinea.

The analysis and determination of glucose may lead to the diagnosis of diabetes mellitus. The review is useful proctosigmoidoscópico rarely see. The threadworm is rare in adults. Psychoneurosis is more common as the underlying cause of pruritus. Also the skin examination (microscopic or culture) may show yeast fungi or parasites.

When we investigated all possible causes and is not the cause, the disorder is diagnosed as idiopathic or essential pruritus and not uncommon.

Although pruritus is usually benign, it can be persistent and recurrent.

TREATMENTS AND RECOMMENDATIONS

General: Avoid spicy foods, spicy foods and drugs that irritate the anal mucosa. The perianal toilet must be constant and is recommended or damp soft paper or cotton after defecation. Women should follow similar precautions after urinating.

But the best method of cleaning for all types of anal itching are the showers.

It is advisable to avoid scratching and keep nails short and clean, daily change of underwear.

Local Action: Recommend cream, ointment or lotion pramasone 1 or 2.5%. The hydrocortisone or yodoclorohidroxiquina are useful. The annals showers twice a day with silver nitrate, 1:10,000 to 1:200 or 1:10,000 potassium permanganate, calcium and aluminum solution subacetate 1:20 are recommended for swelling or oozing acute in the area.? in directory a to z medical environment

It is an unpleasant sensation that provokes a desire to scratch. It is a primary sensory impulse is transported by unmyelinated C fibers in the spinothalamic pathway.

What causes it?

In most patients no obvious factor, although multiple known specific causes. Overall anogenital pruritus may have the same origin as intertrigo, lichen simplex chronicus, seborrhoeic dermatitis, contact dermatitis (soaps, colognes, showers, contraceptives) or due to irritating secretions, leukorrhea, diarrhea, trichomoniasis, etc. .

It may be due to lack of cleanliness. Also it has been thought that the endopeptidases fecal bacteria play a causal role in pruritus ani.
In women is rare vulvar pruritus ani and does not usually affect the anal area, although the anal often spreads to the vulva.

In men scrotal pruritus is less common than anal.

SYMPTOMS

The only symptom is itching, especially at night, there is usually no physical data, but you can find erythema, cracking, maceration, lichenification, excoriation or changes consistent with candidiasis or tinea.

The analysis and determination of glucose may lead to the diagnosis of diabetes mellitus. The review is useful proctosigmoidoscópico rarely see. The threadworm is rare in adults. Psychoneurosis is more common as the underlying cause of pruritus. Also the skin examination (microscopic or culture) may show yeast fungi or parasites.

When we investigated all possible causes and is not the cause, the disorder is diagnosed as idiopathic or essential pruritus and not uncommon.

Although pruritus is usually benign, it can be persistent and recurrent.

TREATMENTS AND RECOMMENDATIONS

General: Avoid spicy foods, spicy foods and drugs that irritate the anal mucosa. The perianal toilet must be constant and is recommended or damp soft paper or cotton after defecation. Women should follow similar precautions after urinating.

But the best method of cleaning for all types of anal itching are the showers.

It is advisable to avoid scratching and keep nails short and clean, daily change of underwear.

Local Action: Recommend cream, ointment or lotion pramasone 1 or 2.5%. The hydrocortisone or yodoclorohidroxiquina are useful. The annals showers twice a day with silver nitrate, 1:10,000 to 1:200 or 1:10,000 potassium permanganate, calcium and aluminum solution subacetate 1:20 are recommended for swelling or oozing acute in the area.

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