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
Explanation: This patient’s severe itch was due to a type of eczema, lichen simplex.