Clin Colon Rectal Surg 2019; 32(05): 327-332
DOI: 10.1055/s-0039-1687827
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Idiopathic Pruritus Ani and Acute Perianal Dermatitis

Adrián E. Ortega
1   Keck School of Medicine at the University of Southern California, Los Angeles, California
,
Xavier Delgadillo
2   Centre Médico Chirurgical Volta, La Chaux-de-Fonds, Switzerland
› Author Affiliations
Further Information

Publication History

Publication Date:
22 August 2019 (online)

Abstract

This article reviews the etiologies, pathophysiology, clinical evaluation, and treatment of idiopathic pruritus ani and perianal dermatitis. It underscores a practical approach to each of these common proctologic conditions.

 
  • References

  • 1 Mallon E. Dermatosis of perineal and perianal skin. In: Griffiths C, Barker J, Bleiker T, Chalmers R, Creamer D. eds. Rook's Textbook of Dermatology, 9th ed. Vol. 3. West Sussex, UK: Wiley Blackwell; 2010: 113.1-113.33
  • 2 Farouk R, Duthie GS, Pryde A, Bartolo DC. Abnormal transient internal sphincter relaxation in idiopathic pruritus ani: physiological evidence from ambulatory monitoring. Br J Surg 1994; 81 (04) 603-606
  • 3 Allan A, Ambrose NS, Silverman S, Keighley MR. Physiological study of pruritus ani. Br J Surg 1987; 74 (07) 576-579
  • 4 Lysy J, Sistiery-Ittah M, Israelit Y. , et al. Topical capsaicin—a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study. Gut 2003; 52 (09) 1323-1326
  • 5 Suys E. Randomized study of topical tacrolimus ointment as possible treatment for resistant idiopathic pruritus ani. J Am Acad Dermatol 2012; 66 (02) 327-328
  • 6 Samalavicius NE, Poskus T, Gupta RK, Lunevicius R. Long-term results of single intradermal 1% methylene blue injection for intractable idiopathic pruritus ani: a prospective study. Tech Coloproctol 2012; 16 (04) 295-299
  • 7 Morris-Jones R, Robertson SJ, Ross JS, White IR, McFadden JP, Rycroft RJ. Dermatitis caused by physical irritants. Br J Dermatol 2002; 147 (02) 270-275
  • 8 Bourke J, Coulson I, English J. ; British Association of Dermatologists Therapy Guidelines and Audit Subcommittee. Guidelines for the management of contact dermatitis: an update. Br J Dermatol 2009; 160 (05) 946-954
  • 9 McGirt LY, Martins CR. Dermatologic diagnoses in the perianal area. Clin Colon Rectal Surg 2004; 17 (04) 241-245