Content » Vol 88, Issue 5

Clinical Report

Intractable Chronic Pruritus in a 67-year-old Man

Elke Weisshaar
DOI: 10.2340/00015555-0520


Chronic pruritus (> 6 weeks) can be caused by skin diseases and systemic diseases, including malignancies. It is a distressing symptom that requires a precise medical history, thorough physical examination, laboratory and radiological diagnostics. The interpretation of results may sometimes be difficult and may often reveal several patho¬logical findings. This case report demonstrates prostate cancer as a possible underlying disease in a patient with chronic pruritus. Therapy with the selective serotonin reuptake inhibitor paroxetine significantly relieved pruritus, but was less effective when external therapy was discontinued. Most pruritus patients need conse¬cutive or combined aetiological and symptomatic (topical and systemic) therapy.


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