Chronic itching, or pruritus, can significantly impact your quality of life. Severe itching can interfere with sleep, making it difficult to concentrate, and may lead to constant scratching, resulting in skin damage and even bleeding.
I can often predict when a patient is experiencing severe episodes of pruritus by observing the following signs: skin covered with abrasions and excoriations, with serum oozing from the affected areas; numerous scratches and red, inflamed spots; thick, rough skin with dark discoloration; and the formation of intense, generalized nodules, often affecting the limbs and body.
Even the eyes can provide clues: periorbital darkening, hollowed eyes, and folds in the lower eyelids; widespread hyperpigmentation across the face; dry, rough facial skin; and pallor around the lips are all indicators of stress and sleeplessness. These symptoms reflect the toll that chronic pruritus takes on the body and overall well-being.
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