Pruritus Ani

Siddiqi, S; Vijay, V; Ward, M. W. N.; Mahendran, R.; Warren, S.

doi:10.1308/003588408x317940

Cited by 61 publications

(51 citation statements)

References 29 publications

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“…Of 126 patients referred to dermatologists for perianal eczema in a 2006 study, 54% were felt to have diagnoses other than contact eczema, and of those, nearly 80% were diagnosed with Candida infection [38]. Pruritus and bright erythema are typical, although other presentations are possible (Table 2) [39]. Cultures showing perianal Candida are more frequently pathogenic in patients who are diabetic, immunosuppressed, or on prolonged antibiotics [40••].…”

Section: Fungal Infectionmentioning

confidence: 99%

“…Patients attribute symptoms to hygiene problems and wipe more vigorously with a variety of cleansing agents, which aggravates symptoms. Although fecal soiling can cause pruritus ani, treatment is aimed at obtaining more formed stool consistency rather than increased cleansing [39]. Pruritus ani is idiopathic up to 90% of the time.…”

Section: Pruritus Ani and Dermatologic Diseasesmentioning

confidence: 99%

“…Foods possibly contributing include caffeine, alcohol, milk products, peanuts, spices, citrus, grapes, tomato, and chocolate. Systemic diseases like diabetes, leukemia or lymphoma, jaundice, renal failure, iron deficiency anemia, thyroid disease, and psychologic disease can present with pruritus ani [39].…”

Section: Pruritus Ani and Dermatologic Diseasesmentioning

confidence: 99%

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Perianal Infections: A Primer for Nonsurgeons

Mansour

Weston

2010

Curr Gastroenterol Rep

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The topic of perianal infections covers a broad range of illnesses that can be difficult to differentiate from each other. As a result, patients may suffer from unnecessary examinations and ineffective or delayed therapeutic interventions. This article reviews common and unusual infectious pathology and inflammatory or malignant conditions that should be considered in the differential diagnosis. Presentations of infectious pathology specific to HIV are discussed. New treatment strategies, where available, are noted.

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Section: Fungal Infectionmentioning

confidence: 99%

Section: Pruritus Ani and Dermatologic Diseasesmentioning

confidence: 99%

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Perianal Infections: A Primer for Nonsurgeons

Mansour

Weston

2010

Curr Gastroenterol Rep

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“…Nylon and other synthetic fabrics retain moisture and can irritate the skin. 3 Soaps and detergents for washing the perianal area can perpetuate itch. Alcohol based cleansers and wet wipes can cause irritation or allergic contact dermatitis.…”

mentioning

confidence: 99%

Anal itching

Sahnan

Lever

Philips

2016

BMJ

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“…Identification and avoidance of irritants – for example, foodstuffs that cause loose stools and/or greater stooling frequency and/or mechanical trauma because of use of rough toilet paper – are important early steps in the treatment of confirmed ICD 5,16,17. In cases of ACD, where the cause is discovered to be, for example, a preservative found in food or cosmetics (e.g.…”

Section: Non-medical Management Of Aementioning

confidence: 99%

Therapeutic management of anal eczema: an evidence‐based review

Havlíčková

Weyandt²

2014

Int J Clin Pract

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AimTo conduct a systematic review of treatments for anal eczema (AE).MethodsWe conducted a Medline search for clinical trial data for the treatment of perianal diseases including AE, including papers not published in the English language. We assessed the study reports using the system recommended by the Oxford Centre for Evidence-based Medicine. No meta-analysis was attempted.ResultsThe evidence base for topical treatments used to treat AE is very poor: there are very few studies and many of those that exist are of poor quality. The best evidence was found for medications that are yet to be licensed for AE. Among products with existing licences for the treatment of eczema, our assessment found some evidence to support the continued use of mild-to-moderate corticosteroids first line in most patients.DiscussionFeatures of the perianal region, and the fact that it is almost always occluded, mean that not all medications recommended in the general treatment guidelines for eczema are appropriate for AE. However, there are no specific treatment guidelines for these patients. This may in part be because of the lack of high-quality evidence-based medicine in this therapy area. Many frequently prescribed medications were developed and licensed many years ago, in an era when clinical trial design was not expected to be as rigorous as it is today.ConclusionThis review highlights the need to conduct more high-quality clinical trials in patients with AE in order that specific guidelines for the management of this difficult proctological condition can be prepared.

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Pruritus Ani

Abstract: Treatment of primary and secondary pruritus ani has a good prospect of regression of symptoms and skin changes.

Cited by 61 publications

References 29 publications

Perianal Infections: A Primer for Nonsurgeons

Perianal Infections: A Primer for Nonsurgeons

Anal itching

Therapeutic management of anal eczema: an evidence‐based review

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