Delgadillo X, Steiger A, Salgado G

Language: Spanish
References: 14
Page: 28-34
PDF size: 274.41 Kb.

ABSTRACT

Pruritus ani is a pathology with complex symptoms and signs, generally idiopathic, often accompanied by a psychogenic component. It is difficult for the coloproctologist to identify both primary and secondary causes of the origin of the pruritus ani, and should be focused on guiding the patient with the best possible hygienic-dietary behavior. We have carried out an updated umbrella review on the initial attitude towards diagnosis and treatment compared with our experience in the case of pruritus ani. We concluded that the pruritus ani is frequently refractory to initial treatment and in case of a therapeutic failure, the patient should be sent to the dermatologist for a second opinion. We conclude that, although frustrating for both the patient and the surgeon, not being able to find an objective cause for anal pruritus is a reason to avoid any unnecessary surgical procedure, despite the presence of concomitant anal lesions (only biopsies are accepted).

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