Pruitus ani

Maclean, Joanne, and Russell, Darren (2010) Pruitus ani. Australian Family Physician, 39 (6). pp. 366-370.

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Background Anal pruritus affects up to 5% of the population. It is often persistent and the constant urge to scratch the area can cause great distress. Although usually caused by a combination of irritants, particularly faecal soiling and dietary factors, it can be a symptom of serious dermatosis, skin or generalised malignancy or systemic illness.

Objective This article discusses the assessment and management of Pruritus ani.

Discussion It is important not to trivialise the symptom of anal Pruritus and to enquire about patient concerns regarding diagnosis. Once serious pathology has been excluded, management involves education about the condition; elimination of irritants contributing to the itch-scratch cycle including faecal soiling, dietary factors, soaps and other causes of contact dermatitis; and use of emollients and topical corticosteroid ointments. Compounded 0.006% capsaicin appears to be a safe and valid option for Pruritus not responding despite adherence to these conservative measures.

Item ID: 15264
Item Type: Article (Research - C1)
ISSN: 0300-8495
Keywords: pruritus ani, skin diseases, anus diseases
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Copyright to Australian Family Physician. Reproduced with permission. Permission to reproduce must be sought from the publisher, The Royal Australian College of General Practitioners:

Date Deposited: 25 Mar 2011 06:27
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified @ 100%
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