[Prurigo outlined --

Prurigo (Prurigo) is a group of acute or chronic inflammatory skin's skies. Occur in the limbs into the side itching skin. Skin damage is more isolated papules or nodules, to stay after more pigmented lesions local Department of severe itching. Chronic disease, and sometimes a few months or years each day. Prurigo have different names, not the same classification. As the clinical differences in the prevalence of children as the book put the prevalence of hours, unusual itch clinics, prurigo nodularis. Prurigo of pregnancy and the prevalence of such summer.

[Prurigo diagnosis --

According to many rash erythema, papules, nodules, symmetrical arc established, the issue of the extension part of the limbs, particularly upper limbs obvious. After more pigmented skin lesions have a patch, with intense itching, chronic disease, the diagnosis is not difficult.

[Prurigo treatment --

There is no ideal treatment, in particular, it will be difficult to root. The most effective method is to search for and eliminate pathogenic factors in their daily lives, we must prevent grave-sweepers should always, attention should be paid to improving the state of catering to rectify the gastrointestinal dysfunction. Eliminate infectious lesion in vivo treatment of active disease. Paid to improving the nutritional and health status.

1. Chlorpheniramine anti-histamine drug treatment, tournament maltreat à¤, vitamin C Astemizole 10mg once a day; That special-D 60mg, twice daily; new music-BP twice or three times a day; Aw Litermin 10 mg once a day; also cimetidine (Cimetidine) 400mg 50% glucose and sodium chloride injection mL intravenous infusion once a day, itching to have a certain effect.

2. Generalized rash of serious symptoms can give a little bit of corticosteroid therapy, such as prednisone 10mg. three times a day to temporarily alleviate the symptoms of withdrawal when it is easy to recur.

3. Chinese medicine is unusual for prurigo summer Prurigo Qingre to wind medicine and other treatment available, Defense used to break Qingre soup, soup breeze cools the blood rule. Prurigo nodularis to be political will to Qingre Activating stasis. Using Prurigo side, Yong'an itching side, using a Modified Spleen Weiling plastering.

4. External topical drug propofol calamine lotion, use of corticosteroid ointment or cream inunctum.

5. Prurigo nodularis use other methods to create their own organization nodular tissue plasminogen desensitization therapy for a certain effect. Cryosurgery treatment as other, a partial closure of therapy, lesional injection of corticosteroid use under the conditions.

[Prurigo etiology --

The disease of unknown cause, it is generally thought that with the allergy, and some patients have a family history of allergy. the prevalence of children with atopic dermatitis result. Some first-like urticaria, and the prevalence of grave-sweepers should always be relevant. Prurigo healing after childbirth due to pregnancy, and that it was related to changes in endocrine. Some scholars believe that sexual contact allergens from the outside world, the largest food and drug allergies caused. In addition digestive disorders, the disease infection in vivo tumor. neuropsychological factors to the occurrence of the disease may be so.

[Prevalence of pathological changes --

Pathological changes in the non-specific chronic inflammatory disease, epidermal hyperkeratosis and parakeratosis, layers of cells hypertrophy, epidermis edema, shallow skin blister may occur. Dermis edema, perivascular lymphocytic infiltration. Prurigo nodularis pathological epidermal hyperkeratosis and acanthosis marked hypertrophy and hyperplasia was papilloma, superficial dermal cells. lymphocyte infiltration.

[Prevalence of clinical manifestations --

1. Children called prurigo Hebra prevalence of early-onset or prevalence, the prevalence of light. More childhood disease, the lesions began mainly as a red papules miliary to mung bean size, Wind can also be a group of popular urticaria or rash. After arc up into papules or nodules small nodular lesions. Ation because there will be mild, or eczema-like changes in blood callus. Common sites for the extension part of the limbs, back, head and face, such as may occur. Symptoms of severe itching, rashes dissipated with pigmentation. Be repeated attack. A small number of patients has continued to adulthood. Groin and axillary lymph node enlargement can.

2. Unusual prevalence (Prurigo Vugaris) also claimed that the prevalence of simple (S Prurigo implex), a middle-aged men and women disappearing up the circular arc damage papules, mung bean and pea size, the number of volatile papules top of a small blister, but the blister often fail to Arizona, have serous surface crusting blisters break, in batches damage there. intense itching, dryness may be due to long-ation, and the moss of pigmentation, a bit like scar left after a few more cases.

Rash occurs in the limbs and trunk extensor, buttocks and other parts. Damage natural disappear in a short time, but sometimes relapse.

3. Prurigo nodularis (Prurigo nodularis), also known as verrucous refractory urticaria (U rticaria Perstans Verrucosa) damage to the beginning of red or pink papules quickly turned into a dome-shaped solid nodules, from pea size of a nail, the general was grayish brown or reddish-brown. Surface damage keratosis, crude, was verrucous, inconsistent with a solid sense. Consciously dramatic caves, because for a long time friction and ation, bloodshed and blood callus. the surrounding skin pigmentation and moss-like changes often, sometimes with similar coin-like eczema.

Damage often seen in the limbs, particularly in the leg extensor disappearing or other parts of the back can occur. Indefinite number of nodules are physically arranged column along the trend. The disease prevalent adults, mostly women. After chronic, long time each day.

4. Prurigo of pregnancy (Prurigo gestationis) often occurred in the second pregnancy women and minority patients can be seen in the first pregnant women in early pregnancy damage to the first 3-4 months. or the last two months of pregnancy. Rash of pink papules, Qiu corporations like herpes or wind damage, the damage to a small number of patients with erythema multiforme similar. Symmetrically in the torso, buttocks, thigh as a whole consciously intense itching, which may be due to mild ation. callus and moss-like changes in blood. After the rash of natural childbirth dissipated most patients, a few patients may also decline immediately after birth, a few months or a few years away. Generalized rash of pregnant women, there will be serious stillbirth.

5. Prurigo Summer (Summer Prurigo) Some scholars believe that the disease is the summer light water Blister disease (hydroa aestivale) or chicken pox blister-like disease (hydroa vaccini forme). Mission to the beginning of the wind like papules, vesicles may occur, severe itching. But no damage like chicken pox sores, or lesions disappeared after left scars. Frequently in adults.

[Prurigo differential diagnosis --

Subject to the following disease.

1. Papular urticaria seasonal incidence, morbidity more in the summer and autumn, the wind fusiformed rash of corporate or Qiu herpes simplex. short duration, without lymphadenopathy.

2. Dermatitis herpetiformis rash with blisters or bullous based diversified damages symmetry, Most patients valley plastic enteropathy, a specific pathological changes. Direct immunofluorescence dermal papilla granular IgA, and C3 was calm.

3. Verrucous lesions of lichen planus patch verrucous thickening, rough surface, like a pig were performed. Histopathological features of lichen planus are well Neurodermatitis characteristics.

This article was posted on 2007-02-27