Together with pain itch is one of the most severe symptoms in humanity. It’s common in dermatological practice and characterized with high burden of disease. At the introduction itch terminology, epidemiological data, diagnostic criteria (scales) and clinical features to distinguish the extent of severity will be presented. Different factors of pathogenesis can explane the complexity and difficulties of approaches of treatment and possible torpidity to it. The key role of modern cytokines will be discussed during the lecture. High prevalence of itch at different nosologies will be under review. Analysis of clinical protocols and recommendations that include topic of itch will be done in detail. Modern conceptions of itch, causes of itch, different approaches to classifications will help to find the adequate treatment of itch individually. Recent atopic dermatitis European guidelines (EuroGuiDerma 2022) and IFSI-guideline on chronic prurigo (2020), as well European Guideline on chronic pruritus (2012) and Japanese Guidelines for the diagnosis and treatment of cutaneous pruritus (2020) will be included in presentation. Own experience in Russian clinical recommendation and clinical cases will be provided. The great attention will be focused on traditional care of the skin using the emollients, to avoid xerosis that is often one of the most common predictors of itch. The approaches with external and systemic therapy will be discussed in detail to explain the right choice in each situation.
Audience Take Away Notes:
- The audience can use the information to find the cause, to detect the category in itch classification, to find out the possible mechanisms, use the treatment, obtain the information about differential approaches and distinguish what kind of the treatment is better to use. Due to the knowledge about ethiology, pathogenesis, clinic, differential diagnosis of different forms of itch the audience will obtain the possibility correctly interpret the results of clinical and instrumental examinations, to use it for the choice of optimal pathogenic and symptomatic therapy in patients with different form of itch.
- Clinical cases will help to develop clinical mind and be more confident in treatment of itch
- This is a research that other faculty could use to expand their research or teaching
- It will provide a practical solution to a problem that could simplify and make a designer’s job more efficient
- It will improve the accuracy of a design, or provide new information to assist in a design problem
The lecture is oriented for the wide audience (dermatovenereologists, cosmetologists, physicians, pediatrists, oncologists and so on.