Itching (pruritis)
Scabies
Lichen Planus

                 SKIN ALLERGY / ITCHING (PRURITIS)

defined as the sensation that provokes the desire to scratch. It is one of the very troublesome & frustrating skin problem.
Causes: are as follows:
Localized skin Itching: this may occur due to following causes;
atopic, contact and seborrhoeic dermatitis
photodermatitis
eczema
psoriasis
lichen planus
dermatophytosis
scabies
pediculosis
schistosomes, jellyfishes and abenones in fresh and salt water.

In the anal and vulvar region itching (Pruritus) may be secondary to an underlying disorder, in addition to local causes as.
Haemorrhoids
rhagades
proctitis due to inflammatory bowel disease tumours.
Persistent itching in both sites can be of psychological origin also.
Persistent itching (Pruritus) along the medial border of the shoulder blades is a disturbing complaint.
generalized itching (Pruritus) is a prominent feature of many cutaneous diseases or a manifestation of numerous systemic disorders.

causes of generalized itching (pruritis) are as follows :

SLE, AIDS Sarcoidosis, Aquagenic itching (Pruritus), Dumping syndrome, Sjogren’s syndrome
pregnancy
drug reactions
barbiturates
antibiotics
contraceptives
psoralen and ultravoilet A (puva), etc
parasitic infestations
trichinosis
onchocerciasis
echincocosis etc
infective disorder
varicela
roseola
chronic renal failure/uraemic prurtius
obstructive disease of the bile ducts
haematological
leukaemias
myeloprolicerative disorder
paraproteindmia/myeloma
hypereosinophilie syndrome
iron deficiency
endocrine
hyper-hypothyroidism
neurological
cerebrovascular disease
multiple sclerosis
neurosis/psychosis
peripheral nerve injuries
post-herpes zoster
sjogren’s syndrome
mastocytosis
human immunodeficiency virus (HIV) 
infection
internal malignant tumours
carcinoid syndrome etc.
aquagenic itching (Pruritus)
psychological reasons.

  DIAGNOSIS OF CAUSE OF ITCHING (PRURITIS) PROBLEM 

First step in proper treatment of itching (Pruritus) is accurate diagnosis of cause of this problem. So we first try to find out cause. We take detailed history, thorough nutritional counseling, physical examination, and examination of hormonal system. After that depending on likelihood of particular, cause relevant tests are done. At our centre we have the facility for all the diagnostic tests needed for the diagnosis of the cause of itching (Pruritus) problems,. Thus you may consult us at our centre & at same time you may get all test done also. The time taken in getting all the reports ready is 36 hours. So if you are from out of Delhi, you may come here for two days.  

DETAILED HISTORY

Onset: Sudden/gradual, Primary or Secondary,  Response to previous therapy, Stress (physical or mental), H/O precipitation by some drugs, HT,  trauma, Hypothyroidism / Hyperthyroidism . 

 

                                              INVESTIGATIONS i.e. DIAGNOSTIC TESTS

At our centre we have all the facility for complete investigation of cause of itching (Pruritus) & other  problems. So we perform following tests, step by step depending on their need based on history & examination. 

The various diagnostic tests needed/performed are as follows: - 
Step- I: : Hormone Testing:  Hormones are tested by latest-immunoassay techniques. These hormones includes total Testosterone, free testosterone Prolactin, LH, FSH, T3, T4, TSH others as Cortisol, E₂, Free testosterone SHBG etc.. Among above tests relevant hormones are tested in that particular patient depending on history examination &. Results are available in 36 hours. When we find out any of above hormone disorder simply correction of these hormone disorder corrects the itching (Pruritus) problem in three months time. 

Diagnosis:
The suggested screening tests includes :
complete blood cell count
haematocrit
haemoglobin
serum iron
sedimentation rate
glucose
alkaline phosphatase and bilirubin
blood urea nitrogen and creatinine
T3, T4 and thyroid-stimulating hormone
stool for occult blood, ova and parasites.
Only when all the above efforts to find a primary disease have failed should one look inwards for a systemic cause of generalised itching (Pruritus). The following screening laboratory tests are indicated:

                   TREATMENT OF ITCHING (PRURITIS)

After diagnosing the cause of itching (Pruritus) we prescribe medicines. The success of various drugs we use in itching (Pruritus) problems depends on accurate diagnosis of cause. If empirical treatment is prescribed as most doctors do, it often does not achieve permanent cure. These itching (Pruritus) tonics & ayurvedic medicines can improve your itching (Pruritus) problem temporarily but they cannot give permanent cure.

We provide specific treatment for Recurrent itching (Pruritus).

Similarly Permanent cure provided for Resistant itching (Pruritus).

We also give certain Newer treatments in very Difficult cases.

Hormone Therapy: Hormone therapy is given to cure the problem whatever defect is found. Depending on the type of hormone disorder i.e. whether hormones are decreased or increased, Hormone therapy is directed towards that. Hormone therapy usually cures the Itching (Pruritus) problem in 2 to 3 months time and they do not have any adverse effects.

Therapies:
Topical Treatment
Emollients and cooling agents
Corticosteroids
Antihistamines, anesthetics

Systemic treatment
Antihistamines, tricyclic antidepressants
Cortiocosteroids
Phototherapy
Other drug with anti pruritic potency.
Thermal stimulation with heat, transcutaneous electrical electro-accupunture.

Response of Treatment: As we have fully dedicated team of highly qualified, experienced, doctors, who are expert in field of itching (Pruritus) treatment Response to treatment is very good. After finding the cause of itching (Pruritus) by above tests it is cured in most patients in three months treatment. Itching (Pruritus) is cured in most cases after correct diagnosis & treatment.

          SCABIES

Scabies is an ectoparasite skin infection
Crusted (keratotic, Norwegian) scabies
Neonatal scabies
Treatment
5% permethrine
Gammahexachlorocyclohexane
Benzyl benzote
Anticholinesterase inhibitors
Sulphur
Crotamitone
Ivermectin
Thiabendazole cream

           LICHEN PLANUS

Lichen planus (LP) is an acquired chronic disease characterized by small cutaneous papules, mucosal striae and erosions.
Clinical characteristics & Types
annular LP
ulcerative form
lichen planopilaris
vesicobullous lichen
pigmentary forms

Recommended therapies
Local treatment  
topical corticosteroids 
Retinoids
Cyclosporin A (CyA)
Corticosteroids
Azathioprine
Thalidomide
Hydroxychloroquine
Retinoids
Levamisole
PUVA
Topical CyA and tacrolimus
Basiliximabn
Extracorporeal photochemotherapy

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We get patients from all major cities in India & Abroad . In the following cities all the facilities for investigation & treatments including medicines are available as Delhi (North, South, East, Central, West, New Delhi). To Different Communities like Hindustani, Hindustan, Hindu, Christian, Muslim, Sikh, Parsee. The other cities are Ghaziabad, Faridabad, Noida, Gurgaon, Meerut, Bombay, Chandigarh, Calcutta,  Simla, Jammu, Srinagar, Aligarh, Lucknow, Kanpur, Allahabad, Varanasi, Dehradun, Madras, Kolkatta, Nainital, Agra,  Jaipur, Bikaner, Jodhpur, Porbandar, Dwarka, Ahmedabad, Gandhi Nagar, Vadodara, Surat, Mumbai, Pune, Thane, Panaji, Nasik, Nagpur, Indore, Ujjain, Bhopal, Gwalior, Jabalpur,  Raipur, Hyderabad, Goa, Visakhapatnam, Bangalore, Banglore, Bangalooru, Mysore, Mangalore, Manipal, Chennai, Pondicherry, Madurai, Kanchipuram, Coimbatore, Kanyakumari, Ernakulam, Trivandrum, Darjeeling, Gangtok, Bhubaneswar, Puri, Guwahati, Shillong, Imphal, Kohima, Agartala, Patna, Ranchi.

We provide treatment for :   Itching Pruritis Specialist Dermatologist Delhi Treatment Cure Skin Permanent Scar Pigmented Spot Allopathic Alopathic Ayurvedic Local New Noida Best Qualified Indian East West North South Central Gurgaon Faridabad Ghaziabad is one of the very remarkable advancement in the last 5 years.