Intense anal/perianal itching and/or burning
Usually acute (defined as <6 weeks of symptoms)
Classified as primary (idiopathic) or secondary (25-75% of cases) to anorectal pathology...
Patients present with complaints of anal and/or perianal itching, burning, or excoriation.
Inquire about:
Timing (when it started, when it is worse)
Perianal hygiene (frequency of cleans...
Proper anal/perianal hygiene. Avoid vigorous rubbing while cleansing after bowel movement. Use cotton swabs moistened with warm water instead of tissue paper. Avoid chemical ...
See patient every 2 weeks if not improving.
Ensure proper hygiene and avoidance of irritants.
Work up for systemic disease, and check for persistent lichenification...
Davies D, Bailey J. Diagnosis and Management of Anorectal Disorders in the Primary Care Setting. Prim Care. 2017 Dec;44(4):709-720.
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Pruritus ani is characterized by anal/perianal itching and/or burning. It is a skin irritation with itch–scratch–itch cycle.
Conservative treatment with perianal hygiene and reassurance...
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FIGURE 28.49. Pinworm egg from urine of 11-year-old girl. One side of the long axis is always more curved than the other.
<bold>FIG. 32.3.</bold> Vulval granuloma inguinale of relatively recent origin. Some lesions are separate, others confluent. The margin of lesion is raised and scrolled; the base is granular and covered imperfectly by thin, gray slough. (From Demis DJ, Crounse RG, Dobson RL, et al, eds. Clinical dermatology, Vol 3. Hagerstown, MD: Harper & Row, 1972, with permission.)
<bold>FIG. 32.3.</bold> Vulval granuloma inguinale of relatively recent origin. Some lesions are separate, others confluent. T...
Figure 32.11. Three female worms of E. vermicularis are seen in a cellophane tape preparation.
Pinworms - Main image shows young child scratch the anal region, an indication of pinworm (enterobius vermicularis) infestion; insert shows pinworms as seen under a microscope.
Pinworms - Main image shows young child scratch the anal region, an indication of pinworm (enterobius vermicularis) infestion; insert show...