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Pruritus ani - Skin
See also in: Anogenital
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Pruritus ani - Skin

See also in: Anogenital
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Contributors: Stuart M. Brown MD, Jeffrey D. Bernhard MD, Noah Craft MD, PhD, Lindy P. Fox MD, Lowell A. Goldsmith MD, MPH, Michael D. Tharp MD
Other Resources UpToDate PubMed

Synopsis

Pruritus ani is the term used for intense and protracted itching in the perianal area (an area of exquisite sensitivity). Possible causes include parasitic and other infectious disorders (pinworms, fungi, yeast, Streptococcus, and pyogenic infections) and dermatoses (psoriasis, intertrigo, lichen planus, seborrheic dermatitis, lichen sclerosus, neurodermatitis, atopic dermatitis, leukoplakia, Bowen's disease, Paget's disease, and contact dermatitis). Common causes of contact dermatitis include dyes or additives in cleansing tissue, overmedication such as with "caine" derivatives, soap, douches, nail polish, deodorants, perfumes, clothing, and powders. Local factors that can incite itching include hemorrhoids, foreign bodies, cryptitis, and fissures. Additionally, one must consider sensitivities to drugs (such as antibiotics) and foods (particularly spicy foods and condiments). Systemic diseases (hepatic and biliary diseases, lymphoma, pellagra, and diabetes) should also be considered.

Evidence of these conditions in characteristic sites will help establish the diagnosis, as will appropriate testing procedures such as scrapings for tinea or yeast, bacterial culture, clear adhesive tape preparations for pinworms, Wood's light examination for erythrasma, biopsy, and patch testing.

Codes

ICD10CM:
L29.0 – Pruritus ani

SNOMEDCT:
90446007 – Pruritus Ani

Look For

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Diagnostic Pearls

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Differential Diagnosis & Pitfalls

Parasitic and other infectious disorders: 
Dermatoses:
Local factors:
Sensitivities to drugs (such as antibiotics)

Sensitivities to foods (particularly spicy foods and condiments)

Systemic diseases:

Best Tests

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Management Pearls

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Therapy

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Drug Reaction Data

Below is a list of drugs with literature evidence indicating an adverse association with this diagnosis. The list is continually updated through ongoing research and new medication approvals. Click on Citations to sort by number of citations or click on Medication to sort the medications alphabetically.

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References

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Last Updated: 08/27/2012
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Pruritus ani - Skin
See also in: Anogenital
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Pruritus ani : Erythema, Excoriation, Fine skin fissures, Lichenified plaque, Perianal-anus, Anal pruritus
Copyright © 2018 VisualDx®. All rights reserved.