Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series

Prurigo simplex or “itchy red bump” disease is a controversial pruritic papular eruption. The objective of this study was to delineate the diagnostic criteria for this disease. A PubMed search was performed for: “prurigo simplex”, “prurigo simplex subacuta”, “subacute prurigo”, “chronic papular derm...

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Main Author: Joanna Wallengren
Format: Article
Language:English
Published: Medical Journals Sweden 2021-09-01
Series:Acta Dermato-Venereologica
Subjects:
Online Access: https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3912
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author Joanna Wallengren
author_facet Joanna Wallengren
author_sort Joanna Wallengren
collection DOAJ
description Prurigo simplex or “itchy red bump” disease is a controversial pruritic papular eruption. The objective of this study was to delineate the diagnostic criteria for this disease. A PubMed search was performed for: “prurigo simplex”, “prurigo simplex subacuta”, “subacute prurigo”, “chronic papular dermatitis in adults” and “itchy red bump disease”. Medical charts of patients with prurigo diagnoses in a university setting were analysed. The literature search revealed 32 relevant studies (431 patients) on different aspects of the disease. Out of 50 patients with prurigo diagnoses, 5 patients (4 women, mean age at onset 54 years) matched the description in literature. Small, severely itchy papules without secondary skin lesions continued to appear for years (mean 5.6 years). Skin biopsies revealed lymphocytic perivascular infiltrates, few eosinophils and occasionally spongiosis. Treatment with long-term metho­trexate or cyclosporine cleared the symptoms. Some major and minor diagnostic criteria for prurigo simplex are proposed and compared with chronic prurigo.
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spelling doaj.art-afe5d7adc05843bf8e0dc9a6a9e1c03a2022-12-22T04:15:00ZengMedical Journals SwedenActa Dermato-Venereologica0001-55551651-20572021-09-011019adv0053910.2340/00015555-39127056Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case SeriesJoanna Wallengren0 Department of Clinical Sciences Lund, Dermatology and Venereology, Lund University, Skane University Hospital, SE-221 85 Lund, Sweden. Prurigo simplex or “itchy red bump” disease is a controversial pruritic papular eruption. The objective of this study was to delineate the diagnostic criteria for this disease. A PubMed search was performed for: “prurigo simplex”, “prurigo simplex subacuta”, “subacute prurigo”, “chronic papular dermatitis in adults” and “itchy red bump disease”. Medical charts of patients with prurigo diagnoses in a university setting were analysed. The literature search revealed 32 relevant studies (431 patients) on different aspects of the disease. Out of 50 patients with prurigo diagnoses, 5 patients (4 women, mean age at onset 54 years) matched the description in literature. Small, severely itchy papules without secondary skin lesions continued to appear for years (mean 5.6 years). Skin biopsies revealed lymphocytic perivascular infiltrates, few eosinophils and occasionally spongiosis. Treatment with long-term metho­trexate or cyclosporine cleared the symptoms. Some major and minor diagnostic criteria for prurigo simplex are proposed and compared with chronic prurigo. https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3912 prurigo simplex itchy red bump disease chronic prurigo pruritus itch immunosuppressants
spellingShingle Joanna Wallengren
Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series
Acta Dermato-Venereologica
prurigo simplex
itchy red bump disease
chronic prurigo
pruritus
itch
immunosuppressants
title Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series
title_full Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series
title_fullStr Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series
title_full_unstemmed Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series
title_short Prurigo Simplex or “Itchy Red Bump” Disease: Review and Case Series
title_sort prurigo simplex or itchy red bump disease review and case series
topic prurigo simplex
itchy red bump disease
chronic prurigo
pruritus
itch
immunosuppressants
url https://www.medicaljournals.se/acta/content/html/10.2340/00015555-3912
work_keys_str_mv AT joannawallengren prurigosimplexoritchyredbumpdiseasereviewandcaseseries