title: Itch Management: General Principles.
abstract: Like pain, itch is a challenging condition that needs to be managed. Within this setting, the first principle of itch management is to get an appropriate diagnosis to perform an etiology-oriented therapy. In several cases it is not possible to treat the cause, the etiology is undetermined, there are several causes, or the etiological treatment is not effective enough to alleviate itch completely. This is also why there is need for symptomatic treatment. In all patients, psychological support and associated pragmatic measures might be helpful. General principles and guidelines are required, yet patient-centered individual care remains fundamental.
authors: Department of Dermatology, University Hospital of Brest, and Laboratory of Neurosciences of Brest, University of Western Brittany, Brest, France.
authors: Laurent
authors: L
authors: Misery
mesh_terms: D000208:Acute Disease; D000279:Administration, Cutaneous; D000700:Analgesics / Q000627:therapeutic use*; D000779:Anesthetics, Local / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use*; D000982:Antipruritics / Q000627:therapeutic use*; D065095:Calcineurin Inhibitors / Q000627:therapeutic use; D002908:Chronic Disease; D003080:Cold Temperature; D006633:Histamine Antagonists / Q000627:therapeutic use*; D006801:Humans; D008019:Life Style; D010353:Patient Education as Topic; D011537:Pruritus / Q000628:therapy*; D011613:Psychotherapy; D017473:Receptors, Opioid, kappa / Q000819:agonists; D017450:Receptors, Opioid, mu / Q000037:antagonists & inhibitors; D012064:Relaxation Therapy; D014467:Ultraviolet Therapy
chemical_list: D000700:Analgesics; D000779:Anesthetics, Local; D000928:Antidepressive Agents; D000982:Antipruritics; D065095:Calcineurin Inhibitors; D006633:Histamine Antagonists; D017473:Receptors, Opioid, kappa; D017450:Receptors, Opioid, mu