logo Pruritus case challenge 1

Itchy skin disease

Pruritus case challenge 1

The patients illustrated are all complaining of severe pruritus.

Only one has a primary skin disease: which one? * || localised pruritus of the upper arm * || generalised excoriations associated with psychotic disease *! || vulvar pruritus * || chronic renal failure

Here is a close-up of the eruption:

Select the term which best describes the morphology. #! Lichenified || Palpably thickened skin due to chronic rubbing with increased skin markings # Excoriated # Verrucous # Hypertrophied Explanation: This patient’s severe itch was due to a type of eczema, lichen simplex.