OBJECTIVE
Pruritus ani is a common and embarrassing proctological condition which can be very difficult to treat. We report the results of a double blind placebo controlled study of treatment with capsaicin.
METHODS
Firstly, a pilot open study was carried out on five patients to establish which of
BACKGROUND
Pruritus ani is a common presenting problem in general practice, one that is particularly distressing to patients. However, there is little available research on which to base management
OBJECTIVE
This article discusses the causes and management of this distressing symptom based on
Topical capsaicin is reported to be an effective treatment for idiopathic intractable pruritus ani. While both capsaicin and menthol application produce a transient perianal burning sensation, only capsaicin relieves itching. Classical observations on functional desensitisation of nociceptors by
Neurogenic pain and pruritus are the common chief complaints at dermatology office visits. Unfortunately, they are also notoriously difficult conditions to treat. Topical capsaicin used as a single therapy or as an adjuvant offers a low-risk option for patients who do not achieve control on other
OBJECTIVE
To determine the efficacy of topical capsaicin in treating pruritus in any medical condition.
METHODS
Cochrane library, Medline, Embase, Cinahl and Amed, up to April 2008. No language restrictions.
METHODS
Randomized, controlled trials comparing topically applied capsaicin with placebo or
BACKGROUND
Anal pruritus affects up to 5% of the population. It is often persistent and the constant urge to scratch the area can cause great distress. Although usually caused by a combination of irritants, particularly faecal soiling and dietary factors, it can be a symptom of serious dermatosis,
The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders.
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