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June 1922


Arch Derm Syphilol. 1922;5(6):744-747. doi:10.1001/archderm.1922.02350310053005

For several years I have observed an itchy disorder yet to be described. The disorder has characteristics so unique and notable that the diagnosis may be made simply by close clinical observation. The disease, or type of itching, is very rare. It has probably been confused most often with tic and psychotic (neurotic) scratching.

The clinical course of the disorder presents features that are peculiar not only in the distribution and character of itching but also in the local appearance of the itchy points. The appearance of the skin over a pruritic point, if it has not been manipulated, shows absolutely no recognizable change from the normal. Of course, if the skin has been scratched or titillated, there will be the usual response to mechanical irritation. Repeated fingering of the itchy points may lead to a secondary infection of one or more of the follicles. Abrasions or excoriations are not,

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