S2k Guidelines for the diagnosis and treatment of chronic pruritus - update - short version

Staender S, Zeidler C, Augustin M, Bayer G, Kremer A, Legat FJ, Maisel P, Mettang T, Metz M, Nast A, Niemeier V, Raap U, Schneider G, Staender HF, Staubach P, Streit M, Weisshaar E (2017)

Publication Type: Journal article

Publication year: 2017

Journal

Journal der Deutschen Dermatologischen Gesellschaft Wiley-Blackwell

Book Volume: 15

Pages Range: 860-872

Journal Issue: 8

DOI: 10.1111/ddg.13304

Abstract

Associated with a host of different diseases, pruritus is a cardinal symptom that poses an interdisciplinary diagnostic and therapeutic challenge. Over time, that symptom may progress independently of the initial cause, thus losing its function as a warning sign and turning into a clinically relevant disease of its own. In Germany, approximately 13.5 % of the general population are affected by chronic pruritus, with an incidence of 7 %. All forms of chronic pruritus require targeted treatment consisting of (a) diagnosis and management of the underlying disease, (b) dermatological treatment of primary or secondary (for example, dry skin, scratch lesions) symptoms, (c) symptomatic antipruritic treatment, and (d) psychological/psychotherapeutic treatment in case of an underlying or associated psychological or psychosomatic condition. Medical care of patients with chronic pruritus should therefore include an interdisciplinary approach, in particular with respect to diagnosis and therapy of the underlying disease as well as in terms of the management of treatment and adverse events. The objective of the present interdisciplinary guidelines is to define and standardize diagnostic and therapeutic procedures in patients with chronic pruritus. This is a short version of the current S2 guidelines on chronic pruritus. The long version may be found at www.awmf.org.

Authors with CRIS profile

Andreas Kremer Department of Medicine 1 – Gastroenterology, Pneumology and Endocrinology

Involved external institutions

Universitätsklinikum Heidelberg DE Germany (DE) Universitätsklinikum Hamburg-Eppendorf (UKE) DE Germany (DE) Charité - Universitätsmedizin Berlin DE Germany (DE) Medizinische Universität Graz AT Austria (AT) Westfälische Wilhelms-Universität (WWU) Münster DE Germany (DE) HELIOS Kliniken DE Germany (DE) Universitätsklinikum Gießen und Marburg (UKGM) DE Germany (DE) Carl von Ossietzky Universität Oldenburg DE Germany (DE) Universitätsklinikum Münster DE Germany (DE) Fachklinik Bad Bentheim DE Germany (DE) Kantonsspital Aarau AG CH Switzerland (CH)

How to cite

APA:

Staender, S., Zeidler, C., Augustin, M., Bayer, G., Kremer, A., Legat, F.J.,... Weisshaar, E. (2017). S2k Guidelines for the diagnosis and treatment of chronic pruritus - update - short version. Journal der Deutschen Dermatologischen Gesellschaft, 15(8), 860-872. https://doi.org/10.1111/ddg.13304

MLA:

Staender, Sonja, et al. "S2k Guidelines for the diagnosis and treatment of chronic pruritus - update - short version." Journal der Deutschen Dermatologischen Gesellschaft 15.8 (2017): 860-872.

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