Prurigo simplex subacuta
Last Updated: 2019-08-27
ICD11: -
Last Updated: 2019-08-27
Author(s): Anzengruber F., Navarini A.
ICD11: -
Hebra (1854)
Strophulus adultorum, Lichen urticatus.
Polyätiological disease characterized by a strong, punctiform itching.
Primary afflorescence: "Seropapel", a urticarial nodule > 5 mm, partly with a felt central vesicle and reddening of the surrounding tissue. In fact, the disease begins without a specific primary efflorescence.
At first, the patient reports an extremely strong, piercing, punctiform itching, the seropapula is scratched. As soon as blood is visible, the pruritus stops. In the case of dermatological presentation, often only the residual excoriation or a crust is visible.
Arm extension sides, upper back, thighs and chest region. Skin changes in the face rarely occur.
Feeling of relief as soon as the "felt" bubble is scratched.
Often over years.
Topical Therapy
Phototherapy: UVB / PUVA therapy / balneo-phototherapy
Baths: Saline baths / oil baths with Polidocanol additive / climate therapy: North Sea / high mountains (Davos) / Dead Sea
Systemic therapy:
Antihistamines
Atypical neuroleptics
Olanzapine (Olanpax®) p.o. Initial: 5 mg 1x daily; course: 10 mg 1x daily
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