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Cholestatic Pruritus Mimicking a Cutaneous Drug Eruption.
Cureus
November 2023
Department of Dermatology, Baylor Scott & White Medical Center, Temple, USA.
Article Synopsis
- Pruritus, or itch, is a common symptom linked to various skin and systemic disorders, classified into four categories: neuropathic, neurogenic/systemic, psychogenic, and pruritoceptive.
- An 83-year-old man experienced generalized pruritus caused by cholestasis due to bile duct cancer, with unusual symptoms, including skin eruptions after starting meloxicam.
- Healthcare providers should investigate systemic causes of pruritus when patients display atypical skin reactions, as proper classification can aid in treatment and diagnosis.
Possibilities of Anxiolytic Therapy in the Elimination of Stress Skin Manifestations: A Case Report.
Acta Med Litu
May 2023
Department of Military General Practice & Family Medicine, Ukrainian Military Medical Academy, 45/1-33 Knyaziv Ostroz'kykh str., 01015, Kyiv, Ukraine.
The case of a 42-year-old female patient with pronounced itching and exanthema, mainly in the area of the trunk and lower limbs, is presented. Previously, the patient took antihistamines without effect, was treated for scabies, but the itching remained pronounced and led to rash and excoriations. From the anamnesis, it was found that the patient has a high level of stress.
View Article and Find Full Text PDFPrevalence of and Risk Factors for Skin Picking Disorder Symptoms Among Adults in an Arab Middle Eastern Population: A Cross-Sectional Study.
Clin Cosmet Investig Dermatol
December 2022
Department of Psychiatry, King Abdulaziz University, Jeddah, Saudi Arabia.
Article Synopsis
- Skin Picking Disorder (SPD), also known as dermatillomania, involves habitual skin picking that harms skin tissue, with little prior research on its prevalence and symptoms in Saudi Arabia.
- A study in Jeddah surveyed 520 participants using the Skin Picking Scale-Revised (SPS-R) and found that 28.8% reported skin picking behavior, while only 1.2% had significant SPD symptoms.
- Factors like depressive symptoms and being unmarried were linked to higher SPS-R scores, indicating higher vulnerability within these groups, emphasizing the need for increased awareness and clinical attention to SPS for better patient outcomes.
Somatic manifestations of mental illness sometimes occur in patients presenting to hand specialists. These conversion disorders can also occur in groups, a phenomenon known as "mass psychogenic illness." The increasing penetrance of the Internet and social media in modern society has greatly facilitated the interaction of patients with others with similar disorders.
View Article and Find Full Text PDFArticle Synopsis
- * Selective serotonin reuptake inhibitors (SSRIs) have shown effectiveness for PE, while other medications like doxepin and olanzapine also appear beneficial in individual cases.
- * A case study of a 59-year-old male with schizophrenia and severe PE highlighted the successful use of olanzapine alongside another medication, suggesting this combination may be effective for similar patients, meriting further investigation.
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