he leading symptom in patients with inflammatory skin diseases is pruritus (itch). Pruritus is
uncomfortable to live with and can affect one’s life considerably. The quality of life in patients with psoriasis,atopic dermatitis, and chronic idiopathic urticaria has been studied with regard to itch. Many patients attribute poor sleep, depression, agitation, difficulty
concentrating, and reduced sexual desire and function to itch.Treatment can be challenging, and
often several modalities are attempted before total or even partial relief is achieved. In addition to using the oral and topical antipruritic medications available, there are some simple
measures that patients can take to reduce the intensity of itch.Dermatologic nurses will likely
encounter many patients with pruritus who are desperate for relief. A brief overview of itch and topical approaches to its management isprovided, as well as behavior modifications that patients may find helpful.