This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
The therapy of pruritus ani seems to have come into prominence during the past year. More and more the operative treatment has monopolized the literature. While I do not doubt that in some instances the formidable procedures which have been described may be advisable, yet the cases most frequent in general practice may easily be relieved or even cured by simpler means.
A method for which I do not claim originality but which I have employed for many years has been so frequently—almost uniformly—successful that it is my duty to describe it here. I will assume that a general examination of the patient has been made to rule out contributory disease such, for instance, as diabetes.
Scratching is a defense mechanism against pruritus, in these cases produced by "dirt." Minute cutaneous fissures, possibly caused originally by roughness in cleansing the parts after stool, are contaminated by fecal matter which is
Lilienthal H. PRURITUS ANI: A SIMPLE AND EFFICIENT TREATMENT. JAMA. 1938;110(7):509. doi:10.1001/jama.1938.62790070004008c
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: