Senile pruritus L29.84

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Itching in the elderly, especially in the skin areas poor in sebaceous glands (e.g. lower leg), often as a result of sebostasis, less frequently than paraneoplastic syndrome. Itching especially in winter, s.a. pruritus hiemalis, s.a. eczema, desiccation eczema.

Laboratory
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Orienting blood test with differential blood count, BSG, liver, kidney values, thyroid values, bilirubin, ferritin.

Diagnosis
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If necessary, sonographies, radiological examinations, consiliary presentations (internal medicine, neurology, urology, gynaecology, psychosomatics).

Differential diagnosis
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See Table 1.

Therapy
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Accommodation/General: Elimination of causes, sufficient skin care in case of pronounced xerosis cutis (e.g. Optiderm), replenishing substances when showering and bathing (e.g. Balneum Hermal oil bath), urea-containing external preparations (e.g. Optiderm), if necessary UV phototherapy. Antihistamines usually have little effect. S.u. Ichthyosis acquisita (pseudoichthyoses) and Ichthyosis vulgaris, autosomal dominant.

Tables
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Dermatoses

Desiccation dermatitis, Epizoonoses (scabies), Infectious diseases, Virus exanthema, T-cell lymphomas, Autoimmune dermatoses, Seb. eczema, Atopic eczema, Psoriasis vulgaris, Urticaria

Systemic diseases

Renal diseases, hepatic diseases, hematological diseases, neoplasias

Medication intake

antiarrhythmics, antihypertensives, ACE inhibitors, antidepressants, plasma expanders, blood flow enhancing drugs

Neurological/psychogenic diseases

Prurigo nodularis, neuropathies, tumors, multiple sclerosis, dermatomania, depression, schizophrenia, obsessive-compulsive disorder

Diet/life habits
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Consistent care of dry skin in old age!

Literature
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  1. Lonsdale-Eccles A et al (2003) Treatment of pruritus associated with systemic disorders in the elderly: a review of the role of new therapies. Drugs Aging 20: 197-208

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