Beruflich Dokumente
Kultur Dokumente
of Pruritus Ani
Diana Pramono
Pruritus Ani
persistent itch around the anus
is a symptom, not a final diagnosis
Anal
Disease
Skin Condition/Disease
Threadworm Infection
Sistemic Disease
Foods
Medicine
Idiopathic
Anal Disease
Haemorrhoids
Constipation
Skin tags
Tumour
Anal fissure
Skin Disease:
may affect the skin around the anus itch
Eczema, psoriasis, lichen sclerosus
&seborrhoeicdermatitis
Allergic or Irritan contact dermatitis
toilet paper, moist wipes, soaps, perfumes,
antiseptics
Fungal Infection
Scabies
Bacterial infection
STI: herpes infection,anal warts, others
Threadworms Infection
common cause in children (> 4 in 10 children in
UK)
itching around the back passage, usually worse at
night
live in the gut and lay eggs around the anus
which cause itch
children may pass them on to adults in the same
home Consider this cause if there is more than
one person in the home with an itchy bottom
Sistemic Disease
Some diseasescan cause generalised itch,
which may seem more intense around the
anus at times : lymphoma, liver diseases,
iron deficiency anaemia, thyroid gland
problems
Other symptoms (+)
Foods
Some foodsare not fully digested and may
sensitise the skin around the anus after you
have gone to the toilet to pass faeces
These include: citrus fruits, grapes,
tomatoes, spices, and drinking large
amounts of beer, milk, tea, or coffee
Medicine
Local anaesthetics or preservatives in creams
used for piles
Some antibiotics can lead todiarrhoea irritate
the anal skin itch
Steroid medication or other medicines that can
weaken immune system increased risk of
developing skin infections may affect the skin
around the anus
Idiopathic
The cause is not clear
Depression ??
vicious circle
Anal Itch
Skin
Irritation
Cleans
with Soap
vicious circle
haemorrhoid
haemorrhoid
(pile)
(pile)
Cream/
ointment
for
treatment
Anal Itch
Allergy
Contact
Dermatitis
Treatment ??
Medication
Steroid cream
Capsaicin cream
Antihistamin
Thank You