Pruritus

Initial evaluation: CBC, CMP, TSH, HIV test

Additional evaluation: Skin scraping and/or biopsy

Skin Lesion

• Common

  • Urticaria (hives)

  • Dermatitis

    • Irritant contact dermatitis

    • Atopic dermatitis (eczema) and treatment with topical steroids

    • Rhus dermatitis (poison ivy)

  • Insects/parasites

    • Lice

    • Scabies

• Additional considerations

  • Folliculitis

  • Psoriasis

  • Rash in pregnancy: Prurigo, polymorphic eruption, intrahepatic cholestasis

• Less common: Lichen planus, dermatitis herpetiformis

No Skin Lesion

• Xerosis

• Hepatobiliary cirrhosis

• Hodgkin lymphoma: Obtain CXR if suspected

• Medication induced