Pruritus on primarily unchanged skin L29.89

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

primary pruritus; Pruritus on primarily unchanged skin; pruritus sine materia

Definition
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The diagnosis " Pruritus sine materia" is rejected by most experts today. Originally, it denoted a pruritus without an identifiable basic dermatological disease. The current clinical classification bypasses this inaccurate classification and describes this condition as "pruritus on primarily unchanged skin". This designation is based on the clinical picture and is therefore easy for the clinician to classify and provides a clear guideline for a further causal research.

The diagnosis "pruritus on primarily unchanged skin" is compared to the clinical picture of "pruritus on primarily changed skin" (in dermatological diseases).

Differential diagnosis
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In fact, "pruritus on primarily unchanged skin" is a symptom that requires further clarification. To be clarified:

  • Internal diseases (especially blood, liver and kidney diseases)
  • Neurological diseases(Notalgia paraesthetica; brachioradial pruritus)
  • Psychogenic diseases (somatoform pruritus)
  • Multifactorial Pruritus
  • Pruritus of unclear cause

Therapy
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Psychotherapy, capsaicin cream and lotio, see below Capsaicin.

Note(s)
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The terms "pruritus sine and cum materia" are defined differently. They should no longer be used today. See also Pruritus

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020