define
itch
mediators
chemicals
nerve transmission
CNS
chemical mediators
histamine PGE2 ACh serotonin kallikrein IL-2 substance P tryptase
nerve transmission
unmyelinated C fibres
CNS mediators
opiates
four types of pruritus
pruritoceptive
neuropathic
neurogenic
psychogenic
define pruritoceptive
usually assocaited with inflammation or dryness in skin that triggers itch
define neuropathic
damage to any of central or peripheral nerves causing itch
define neurogenic
no evident damage to CNS but itch caused by effects of opiates on CNS
define psychogenic
psychological cause with no pathology
management
determine cause
anti-itch treatment
anti-itch treatment
antihistamines emollients antidepressants phototherapy opiate antagonists