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Localized or generalized pruritus without a primary skin lesion; Chronic pruritus, characterized as being greater than 6 weeks; There is no somatic cause present; 7 Optional criteria (need 3 to diagnose) A chronological relationship of pruritus with one or several life events that can have psychological consequences; Changes during the nighttime
The DSM-5 (2013), the current version, also features ICD-9-CM codes, listing them alongside the codes of Chapter V of the ICD-10-CM. On 1 October 2015, the United States health care system officially switched from the ICD-9-CM to the ICD-10-CM. [1] [2] The DSM is the authoritative reference work in diagnosing mental disorders in the world.
If the sensation of itching persists for six weeks or longer, then it is called chronic itch or chronic pruritus. [4] [5] Chronic idiopathic pruritus or Chronic Pruritus of Unknown Origin is a form of itch that persists for longer than six weeks, and for which no clear cause can be identified. [6] [7]
The word "prurigo" comes from the Latin word pruire, which meaning itching. Ferdinand von Hebra coined the term "prurigo" in Vienna in 1850 to describe papules and nodules that had severe pruritus. [2] Some authors categorize prurigo based on its nature (acute, subacute, or chronic), clinical manifestation, underlying cause, or related illness. [3]
692.3 Contact dermatitis and other eczema due to drugs and medicines in contact with skin; 692.4 Contact dermatitis and other eczema due to other chemical products; 692.5 Contact dermatitis and other eczema due to food in contact with skin; 692.6 Contact dermatitis, due to plants; 692.7 Contact dermatitis and other eczema due to solar radiation ...
In medicine, not otherwise specified (NOS) is a subcategory in systems of disease/disorder classification such as ICD-9, ICD-10, or DSM-IV.It is generally used to note the presence of an illness where the symptoms presented were sufficient to make a general diagnosis, but where a specific diagnosis was not made.
Other antimalarials like amodiaquine, halofantrine, and hydroxychloroquine have also been linked to pruritus, albeit less frequently and to a lesser extent. [2] Another class of medications known to occasionally cause itching is known as serotonin reuptake inhibitors. [3] Itching is one of the most frequent adverse effects of opioid therapy. [4]
The exact mechanism of the condition is unknown. Some studies have suggested the itching occurs in response to increased fibrinolytic activity in the skin, [5] [6] inappropriate activation of the sympathetic nervous system, [7] increased activity of acetylcholinesterase, [8] [9] or an increase in mast cell degranulation that releases histamine and other chemicals into the body.