Itch - Causes

Causes

Infections and infestations:

  • Allergic reaction to contact with specific chemicals, such as urushiol, derived from poison ivy or poison oak.
  • Body louse. Body lice can be seen in substandard living conditions.
  • Cutaneous larva migrans.
  • Head lice, if limited to the neck and scalp.
  • Herpes.
  • Insect bites, such as those from mosquitos or chiggers.
  • Photodermatitis – (sun) light reacts with chemicals in the skin, leading to the formation of irritant metabolites.
  • Pubic lice, if limited to the genital area.
  • Scabies especially when several other persons in close contact also itch.
  • Shaving, which may irritate the skin.
  • Swimmer's itch
  • Varicella (Chickenpox) Most common in young children. Highly contagious.

Environmental and allergic:

  • Urticaria (also called hives) usually causes itching.

Dermatological disorders:

  • Dandruff. (An unusually large amount of flaking is associated with this sensation.)
  • Scab healing; scar growth; and the development or emergence of moles, pimples and ingrown hairs from below the epidermis.
  • Skin conditions (such as psoriasis, eczema, sunburn, athlete's foot, hidradenitis suppurativa and many others). Most are of an inflammatory nature.
  • Punctate palmoplantar keratoderma.
  • Xerosis (dry skin). This is the most common cause, frequently seen in the winter and also associated with older age, frequent bathing in hot showers or baths, and high-temperature and low-humidity environments.

Medical disorders:

  • Diabetes Mellitus.
  • Hyperparathyroidism.
  • Iron deficiency anemia.
  • Jaundice and Cholestasis. (Bilirubin is a skin irritant at high concentrations.)
  • Malignancy or internal cancer such as lymphoma, Hodgkin's disease.
  • Menopause or changes in hormonal balances associated with aging.
  • Polycythemia, which can cause generalized itching due to increased histamine.
  • Thyroid illness.
  • Uraemia.

Medication:

  • Directly (e.g. morphine and other opiates)
  • Chloroquine.

Related to pregnancy:

  • Gestational pemphigoid
  • Intrahepatic cholestasis of pregnancy
  • Pruritic urticarial papules and plaques of pregnancy (PUPPP)
  • Psychiatric disease.

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