Current Management of Chronic Pruritus by French Dermatologists

Authors

  • Emma Encarnaçao Domingos-Ancement Dermatology Department, University Hospital of Brest, Brest, France
  • Emilie Brenaut Dermatology Department, University Hospital of Brest, Brest, France; Université de Bretagne Occidentale, LIEN, Brest, France
  • Laurent Misery Dermatology Department, University Hospital of Brest, Brest, France; Université de Bretagne Occidentale, LIEN, Brest, France

DOI:

https://doi.org/10.2340/actadv.v105.43561

Keywords:

pruritus, itch, practice assessment, management, survey

Abstract

Knowledge concerning pruritus is rapidly evolving and could deeply modify its management. The main objective was to evaluate the management of chronic pruritus by French dermatologists and their current knowledge. This prospective descriptive study used an online questionnaire, which was sent to French dermatologists via the newsletters of 3 dermatological associations. A total of 361 responses to the questionnaire were received, 80.1% from qualified dermatologists, 29.0% from dermatologists with their main practice in hospitals. Only half of respondents considered pruritus chronic after 6 weeks. The initial laboratory work-up included blood count (98.8%), creatinine (93.9%), liver function tests (98.6%), thyroid-stimulating hormone (93.9%), and serum protein electrophoresis (81.7%). There was a significant difference between hospital and non-hospital practitioners in the evaluation of creatinine, fasting blood glucose, viral serologies, syphilis serology, and skin biopsies. Some 34.6% of dermatologists disagreed that pruritus is present in the majority of psoriasis patients. French dermatologists’ knowledge of chronic pruritus and its management is satisfactory, but there is still room for improvement and harmonization.

Downloads

Download data is not yet available.

References

Misery L, Ständer S. Pruritus. 2nd ed. Berlin: Springer-Verlag; 2016. DOI: https://doi.org/10.1007/978-3-319-33142-3

Misery L, Pierre O, Gall-Ianotto C, Pham-Thi N, Saraux A, Le Garrec R, et al. Basic mechanisms of itch. J Allergy Clin Immunol 2023; 152: 11–23. DOI: https://doi.org/10.1016/j.jaci.2023.05.004

Misery L, Brenaut E, Pierre O, Garlantezec R, Le Garrec R, Ständer S, et al. Chronic itch: emerging treatments following new research concepts. Br J Pharmacol 2021; 178: 4775–4791. DOI: https://doi.org/10.1111/bph.15672

Ständer S, Weisshaar E, Mettang T, Szepietowski JC, Carstens E, Ikoma A, et al. Clinical classification of itch: a position paper of the International Forum for the Study of Itch. Acta Derm Venereol 2007; 87: 291–294. DOI: https://doi.org/10.2340/00015555-0305

Yosipovitch G, Skayem C, Aroman MS, Taieb C, Inane M, Hayoun YB, et al. International study on prevalence of itch: examining the role of itch as a major global public health problem. Br J Dermatol 2024; 191: 713–718. DOI: https://doi.org/10.1093/bjd/ljae260

Matterne U, Apfelbacher CJ, Vogelgsang L, Loerbroks A, Weisshaar E. Incidence and determinants of chronic pruritus: a population-based cohort study. Acta Derm Venereol 2013; 93: 532–537. DOI: https://doi.org/10.2340/00015555-1572

Roh YS, Choi J, Sutaria N, Kwatra SG. Itch: epidemiology, clinical presentation, and diagnostic workup. J Am Acad Dermatol 2022; 86: 1–14. DOI: https://doi.org/10.1016/j.jaad.2021.07.076

Wolkenstein P, Grob JJ, Bastuji-Garin S, Ruszczynski S, Roujeau J-C, Revuz J. French people and skin diseases: results of a survey using a representative sample. Arch Dermatol 2003; 139: 1614–1619. DOI: https://doi.org/10.1001/archderm.139.12.1614

Whang KA, Khanna R, Williams KA, Mahadevan V, Semenov Y, Kwatra SG. Health-related QOL and economic burden of chronic pruritus. J Invest Dermatol 2021; 141: 754–760.e1. DOI: https://doi.org/10.1016/j.jid.2020.08.020

Shukla P, Verma P, Tripathi S, Dwivedi AK, Shukla M, Suvirya S. Association of pruritus with sleep in patients with psoriasis and chronic spontaneous urticaria: a cross-sectional study. J Fam Med Prim Care 2023; 12: 1908–1916. DOI: https://doi.org/10.4103/jfmpc.jfmpc_2425_22

Dalgard FJ, Svensson Å, Halvorsen JA, Gieler U, Schut C, Tomas-Aragones L, et al. Itch and mental health in dermatological patients across Europe: a cross-sectional study in 13 countries. J Invest Dermatol 2020; 140: 568–573. DOI: https://doi.org/10.1016/j.jid.2019.05.034

Weisshaar E, Szepietowski JC, Dalgard FJ, Garcovich S, Gieler U, Giménez-Arnau AM, et al. European S2k guideline on chronic pruritus. Acta Derm Venereol 2019; 99: 469–506. DOI: https://doi.org/10.2340/00015555-3164

Andrade A, Kuah CY, Martin-Lopez JE, Chua S, Shpadaruk V, Sanclemente G, et al. Interventions for chronic pruritus of unknown origin. Cochrane Database Syst Rev 2020; 1: CD013128. DOI: https://doi.org/10.1002/14651858.CD013128.pub2

Rodriguez-Le Roy Y, Ficheux AS, Misery L, Brenaut E. Efficacy of topical and systemic treatments for atopic dermatitis on pruritus: a systematic literature review and meta-analysis. Front Med 2022; 9: 1079323. DOI: https://doi.org/10.3389/fmed.2022.1079323

Ebata T. Drug-induced itch management. Curr Probl Dermatol 2016; 50: 155–163. DOI: https://doi.org/10.1159/000446084

Yosipovitch G, Goon A, Wee J, Chan YH, Goh CL. The prevalence and clinical characteristics of pruritus among patients with extensive psoriasis. Br J Dermatol 2000; 143: 969–973. DOI: https://doi.org/10.1046/j.1365-2133.2000.03829.x

Additional Files

Published

2025-09-22

How to Cite

Encarnaçao Domingos-Ancement, E., Brenaut, E., & Misery, L. (2025). Current Management of Chronic Pruritus by French Dermatologists. Acta Dermato-Venereologica, 105, adv43561. https://doi.org/10.2340/actadv.v105.43561