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June 1978

Peculiar Pruritus-Reply

Author Affiliations

Elkins Park, Pa

Arch Dermatol. 1978;114(6):968. doi:10.1001/archderm.1978.01640180098042

In Reply.—  I appreciate Dr Waisman's interest in my letter. My chief reaction is amazement and admiration for his instant recall of a paper published 55 years ago. He wrote to me: "Puncta pruritica was a paragraph in fine print in Ormsby's text. As a resident the description fascinated me because so curious and unique. I looked forward to spotting some cases, but never in all the years have I encountered one. I envy your experience with this rarity and am glad that you reported."Comparison of puncta pruritica and the entity described by me shows many similarities. In both disorders the itching is discontinuous; one or more small discrete points are affected; examination of the skin reveals no evidence of dermatitis; fingernail pressure or pinching suffices and scratching is not needed to relieve the itch; and treatment is ineffective. There are a few differences in the descriptions of the