Written by Dr.Md.Redwanul Huq (Masum) |
Tuesday, 22 January 2013 08:38 |
Causes of generalized itching:
I) Skin diseases:
i. Urticaria
ii. Scabies
iii. Eczema
iv. Lichen planus
II) Parasitic infestation:
Onchocerciasis
III) Thyroid diseases:
i) Hyperthyroidism
ii) Hypothyroidism
IV) Liver disease:
i) Obstructive jaundice
ii) Liver failure
V) Hematologic disorders:
i) Hodgkin’s lymphoma
ii) Iron deficiency anaemia
iii) Polycythaemia rubra vera
VI) Renal disease:
Chronic kidney disease
VII) Viral infection:
HIV infection
VIII) Metabolic disease:
Diabetes Mellitus
IX) Drug induced:
i) Morphine
ii) Cocaine
X) Neoplasia:
Bronchogenic carcinoma.
Treatment of itching:
i) H1 receptor blocker
ii) H2 receptor blocker can also be added
iii) Corticosteroids- local, oral or injectable- according to the need
iv) Naltrexone- if due to morphine or cocaine
v) Topical use of methanol
vi) Treatment of the primary cause.