Itch
Itch (Pruritus)
Itch, medically known as pruritus, is an uncomfortable, irritating sensation that elicits the desire to scratch the affected area. It can be a symptom of a wide range of conditions, from minor irritations to serious medical disorders. Itch can also refer to a strong desire or urge, but in medical contexts, it primarily pertains to the cutaneous sensation.
Overview
Itch is a complex sensory experience that serves as a mechanism to protect the body by prompting a response to remove irritants from the skin. However, when persistent or severe, itching can significantly impair quality of life, leading to discomfort, sleep disturbances, and skin damage due to scratching.

Causes
Itch can be caused by various factors, including:
- Skin conditions: Such as eczema, psoriasis, and hives.
- Systemic diseases: Including liver disease, kidney failure, and thyroid disorders.
- Infections: Fungal infections, scabies, and lice.
- Allergic reactions: To foods, medications, or environmental triggers.
- Psychological factors: Stress and anxiety can exacerbate or even trigger itching.
Itch Mite (Scabies)
A specific cause of itch is the scabies infection, caused by the itch mite Sarcoptes scabiei. This contagious skin infection is characterized by intense itching and skin irritation, especially at night. The mites burrow into the skin to lay eggs, leading to an allergic reaction and subsequent itching.
Diagnosis
Diagnosing the cause of itching involves a thorough medical history and physical examination. Additional tests may include:
- Blood tests to check for systemic conditions.
- Skin scrapings or biopsy to identify infections or inflammatory skin diseases.
- Allergy tests to determine triggers.
Treatment
Treatment for itch depends on the underlying cause:
- Topical treatments, such as moisturizers, anti-itch creams, and corticosteroids.
- Oral medications, including antihistamines, corticosteroids, and antidepressants.
- Light therapy for certain skin conditions.
- Addressing and treating any underlying systemic diseases.
Management and Prevention
Managing itch includes regular skin care, avoiding known irritants, and maintaining a cool, moist environment. Preventive measures involve treating any underlying medical conditions and practicing good hygiene to avoid infections.
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