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  • Interesting Images
  • Open Access
839 Views
2 Pages

Prurigo Nodularis at Ultra-High-Frequency Ultrasound

  • Alessandra Michelucci,
  • Corrado Tagliati,
  • Flavia Manzo Margiotta,
  • Giorgia Salvia,
  • Marco Fogante,
  • Giulio Rizzetto,
  • Antonio Corvino,
  • Elisa Molinelli,
  • Annamaria Offidani and
  • Valentina Dini
  • + 2 authors

Here, we describe the case of a 48-year-old female patient with prurigo nodularis, where B-mode and color-Doppler ultrasound of one nodule was performed; this revealed hypoechoic dermal and hyperechoic epidermal thickening with lesion hypervascularit...

  • Communication
  • Open Access
43 Citations
29,473 Views
10 Pages

Diagnostic Workup and Evaluation of Patients with Prurigo Nodularis

  • Christina D. Kwon,
  • Raveena Khanna,
  • Kyle A. Williams,
  • Madan M. Kwatra and
  • Shawn G. Kwatra

26 September 2019

Prurigo nodularis (PN) is a chronic inflammatory skin disease characterized oftentimes by symmetrically distributed, severely pruritic nodules. Currently, the pathophysiology of PN remains to be fully elucidated, but emerging evidence suggests that n...

  • Review
  • Open Access
27 Citations
16,839 Views
26 Pages

Chronic pruritus that lasts for over 6 weeks can present in various forms, like papules, nodules, and plaque types, with prurigo nodularis (PN) being the most prevalent. The pathogenesis of PN involves the dysregulation of immune cell–neural ci...

  • Article
  • Open Access
10 Citations
5,491 Views
18 Pages

Skin Microbiome in Prurigo Nodularis

  • Klaudia Tutka,
  • Magdalena Żychowska,
  • Anna Żaczek,
  • Karolina Maternia-Dudzik,
  • Jakub Pawełczyk,
  • Dominik Strapagiel,
  • Jakub Lach and
  • Adam Reich

Prurigo nodularis (PN) is a chronic condition characterized by the presence of nodular lesions accompanied by intense pruritus. The disease has been linked to several infectious factors, but data on the direct presence of microorganisms in the lesion...

  • Article
  • Open Access
45 Citations
7,876 Views
10 Pages

Inpatient Burden of Prurigo Nodularis in the United States

  • Katherine A. Whang,
  • Sewon Kang and
  • Shawn G. Kwatra

Background: Although prurigo nodularis (PN) has a significant burden of disease, little is known about its epidemiology and disease burden within the United States. We describe the characteristics of hospitalized patients diagnosed with PN and assess...

  • Article
  • Open Access
20 Citations
5,620 Views
9 Pages

Association between Prurigo Nodularis and Etiologies of Peripheral Neuropathy: Suggesting a Role for Neural Dysregulation in Pathogenesis

  • John-Douglas Matthew Hughes,
  • Taylor E. Woo,
  • Micah Belzberg,
  • Raveena Khanna,
  • Kyle A. Williams,
  • Madan M. Kwatra,
  • Shahzeb Hassan and
  • Shawn G. Kwatra

Background: Prurigo nodularis (PN) is an intensely pruritic skin condition of considerable morbidity. However, the pathogenesis of PN and its association with underlying neuropathy is unclear. Objective: We sought to investigate the association betwe...

  • Review
  • Open Access
5 Citations
5,915 Views
16 Pages

New and Emerging Biologics and Jak Inhibitors for the Treatment of Prurigo Nodularis: A Narrative Review

  • Matteo Bianco,
  • Francesco D’Oria,
  • Costanza Falcidia,
  • Giulio Foggi,
  • Elena Matteodo,
  • Sara Di Giulio,
  • Paola Facheris,
  • Luciano Ibba,
  • Chiara Perugini and
  • Luigi Gargiulo
  • + 4 authors

29 March 2025

Prurigo nodularis (PN) is a chronic dermatological condition characterized by intensely pruritic nodules resulting from repeated scratching. Its pathogenesis involves neuroimmune dysregulation, inflammatory cytokines, and neural proliferation. Conven...

  • Case Report
  • Open Access
4 Citations
3,631 Views
5 Pages

Post-Stroke Asymmetric Prurigo Nodularis Responding to Dupilumab Treatment: A Case Report

  • Ilaria Sammarra,
  • Luigi Bennardo,
  • Eugenio Provenzano,
  • Cataldo Patruno and
  • Steven Paul Nisticò

Prurigo nodularis (PN) is a dermatological condition characterized by nodular hyperkeratotic lesions mainly on the legs and arms. Asymmetrical PN is a rare dermatological condition often associated with paralysis and stroke. In this paper, we present...

  • Article
  • Open Access
12 Citations
9,763 Views
12 Pages

Dupilumab for Treatment of Prurigo Nodularis: Real-Life Effectiveness for up to 84 Weeks

  • Claudia Paganini,
  • Marina Talamonti,
  • Virginia Maffei,
  • Cosimo Di Raimondo,
  • Luca Bianchi and
  • Marco Galluzzo

2 February 2024

(1) Background: Prurigo nodularis (PN) is a persistent and inflammatory dermatological condition characterized by chronic itching and the formation of hardened nodules, significantly impacting the affected individuals’ quality of life and psych...

  • Article
  • Open Access
36 Citations
4,964 Views
12 Pages

24 December 2021

Prurigo nodularis (PN) is a chronic dermatosis typified by extraordinarily itchy nodules. However, little is known of the nature and extent of PN in Asian people. This study aimed to describe the epidemiology, comorbidities, and prescription pattern...

  • Article
  • Open Access
24 Citations
5,122 Views
18 Pages

Comparison of Epidermal Barrier Integrity in Adults with Classic Atopic Dermatitis, Atopic Prurigo and Non-Atopic Prurigo Nodularis

  • Regina Fölster-Holst,
  • Rahel Reimer,
  • Claudia Neumann,
  • Erhardt Proksch,
  • Elke Rodriguez,
  • Stephan Weidinger,
  • Mohamad Goldust,
  • Eckhard Hanisch,
  • Stephan Dähnhardt-Pfeiffer and
  • Sandra Freitag-Wolf

7 October 2021

A deficient epidermal barrier is a key feature of atopic dermatitis (AD) and comprises altered lipid and protein content and composition of the stratum corneum resulting in disturbed water balance. Clinically, eczematous lesions on dry skin and pruri...

  • Article
  • Open Access
2 Citations
3,946 Views
15 Pages

Current Status of Prurigo Nodularis in Japan: A Retrospective Study Using a Health Insurance Claims Database

  • Atsuyuki Igarashi,
  • Takuo Yoshida,
  • Yoshinori Sunaga,
  • Hisakatsu Nawata and
  • Kazuhiko Arima

11 March 2025

Background/Objectives: Prurigo nodularis (PN) is associated with considerable disease burden. Limited information exists about the epidemiology, treatment patterns, and impact of PN. This retrospective study used Japanese health insurance claims data...

  • Article
  • Open Access
8 Citations
4,748 Views
12 Pages

Dysregulation of the Skin–Liver Axis in Prurigo Nodularis: An Integrated Genomic, Transcriptomic, and Population-Based Analysis

  • Melika Marani,
  • Vrinda Madan,
  • Thomas K. Le,
  • Junwen Deng,
  • Kevin K. Lee,
  • Emily Z. Ma and
  • Shawn G. Kwatra

23 January 2024

Pruritus has long been linked to hepatic dysfunction; however, there are limited data characterizing the association between liver disease and prurigo nodularis (PN), a chronic inflammatory skin disease featuring severe pruritis. We thus conducted a...

  • Case Report
  • Open Access
9 Citations
4,973 Views
7 Pages

Cognitive Impairment in Inpatients with Prurigo Nodularis and Psychiatric Comorbidities

  • Giuseppe Lanza,
  • Filomena Irene Ilaria Cosentino,
  • Raffaele Ferri,
  • Bartolo Lanuzza,
  • Maddalena Siragusa,
  • Mariangela Tripodi and
  • Carmelo Schepis

Background: Prurigo nodularis (PN) is a chronic refractory itchy dermatosis. Although psychiatric comorbidity is known, research in cognitive impairment is lacking. We evaluated the occurrence and types of cognitive impairment in a series of inpatien...

  • Article
  • Open Access
36 Citations
5,014 Views
7 Pages

Racial and Gender Differences in the Presentation of Pruritus

  • Katherine A. Whang,
  • Raveena Khanna,
  • Jamael Thomas,
  • Crystal Aguh and
  • Shawn G. Kwatra

27 September 2019

Background: Pruritus is a common disease symptom with a variety of etiologies known to reduce patient quality of life. We aimed to characterize the racial and gender differences in the presentation of pruritus for itch-related patient visits both wit...

  • Review
  • Open Access
2 Citations
2,121 Views
17 Pages

Host–Microbiome Interactions in Chronic Itch

  • Tammy Gonzalez,
  • Sophie M. Bilik,
  • Olivia M. Burke,
  • Irena Pastar and
  • Gil Yosipovitch

9 August 2025

Chronic itch is a debilitating condition characterized by persistent pruritus lasting more than six weeks, significantly impairing quality of life. While the role of the immune system and neural circuits in itch is increasingly understood, the contri...

  • Article
  • Open Access
59 Citations
11,052 Views
15 Pages

Chronic Pruritus Responding to Dupilumab—A Case Series

  • Lisa L. Zhai,
  • Kevin T. Savage,
  • Connie C. Qiu,
  • Annie Jin,
  • Rodrigo Valdes-Rodriguez and
  • Nicholas K. Mollanazar

Background: Chronic pruritus is defined as itch lasting for greater than six weeks. Pruritus is a burdensome manifestation of several internal and external disease states with a significant impact on quality of life. Dupilumab has shown promise in tr...

  • Systematic Review
  • Open Access
83 Citations
21,463 Views
66 Pages

Dupilumab in Inflammatory Skin Diseases: A Systematic Review

  • Henning Olbrich,
  • Christian D. Sadik,
  • Ralf J. Ludwig,
  • Diamant Thaçi and
  • Katharina Boch

31 March 2023

Dupilumab was first approved for the treatment of atopic dermatitis (AD) and blocks the signaling of interleukin (IL)-4 and -13. Several other chronic skin conditions share mechanistic overlaps with AD in their pathophysiology, i.e., are linked to ty...

  • Review
  • Open Access
2 Citations
3,036 Views
16 Pages

Review of T Helper 2-Type Inflammatory Diseases Following Immune Checkpoint Inhibitor Treatment

  • Yoshihito Mima,
  • Tsutomu Ohtsuka,
  • Ippei Ebato,
  • Yukihiro Nakata,
  • Akihiro Tsujita,
  • Yoshimasa Nakazato and
  • Yuta Norimatsu

Immune checkpoints are mechanisms that allow cancer cells to evade immune surveillance and avoid destruction by the body’s immune system. Tumor cells exploit immune checkpoint proteins to inhibit T cell activation, thus enhancing their resistan...

  • Review
  • Open Access
14 Citations
5,865 Views
19 Pages

27 April 2025

Atopic dermatitis (AD) is a chronic inflammatory skin disease characterized by epidermal barrier dysfunction and immune dysregulation, with interleukin (IL)-4, IL-13, and IL-31 recognized as key mediators. Prurigo nodularis (PN) is another chronic in...

  • Article
  • Open Access
2 Citations
2,827 Views
14 Pages

Background: Dupilumab, a fully human monoclonal antibody targeting the interleukin (IL)-4/IL-13 pathway, is able to dampen T helper (Th)2-mediated inflammation in several conditions characterized by this particular type of phlogosis. The aim of this...

  • Review
  • Open Access
2 Citations
1,539 Views
16 Pages

Matrix Metalloproteinases in Inflammatory Dermatoses

  • Joanna Czerwińska and
  • Agnieszka Owczarczyk-Saczonek

23 October 2025

Matrix metalloproteinases (MMPs) are endopeptidases that help maintain tissue homeostasis. Dysregulation of MMP secretion or activity, along with issues in their natural regulators, contributes to the development of many disorders, including autoimmu...

  • Article
  • Open Access
5 Citations
2,452 Views
10 Pages

Ex Vivo Confocal Laser Scanning Microscopy in Rare Skin Diseases

  • Luis Messner,
  • Maximilian Deußing,
  • Michaela Maurer,
  • Lisa Buttgereit,
  • Lara Stärr,
  • Lars E. French and
  • Daniela Hartmann

28 April 2024

While ex vivo confocal laser scanning microscopy has previously demonstrated its utility in most common skin diseases, its use in the assessment of dermatological entities with lower incidence remains unexplored in most cases. We therefore aimed to e...

  • Review
  • Open Access
3,209 Views
15 Pages

The Relationship Between Chronic Pruritus, Attention-Deficit/Hyperactivity Disorder, and Skin Picking—A Case Series and Narrative Review

  • Eva Loos,
  • Suzan Sekar,
  • Christiane Rosin,
  • Alexander A. Navarini,
  • Chrysovalandis Schwale,
  • Rainer Schaefert and
  • Simon Müller

6 March 2025

Chronic pruritus (CP), attention-deficit/hyperactivity disorder (ADHD), and skin picking disorder (SPD) are medical conditions that involve both somatic and psychosocial dimensions, posing unique challenges in clinical management. While CP and SPD ar...

  • Article
  • Open Access
2 Citations
3,522 Views
8 Pages

Oral Alitretinoin for Patients with Refractory Prurigo

  • Bo Young Chung,
  • Ji Young Um,
  • Seok Young Kang,
  • Min Je Jung,
  • Jin Cheol Kim,
  • In-Suk Kwak,
  • Chun Wook Park and
  • Hye One Kim

9 November 2020

Background: prurigo is a chronic skin disorder associated with a history of chronic pruritus. The pathogenesis of prurigo is largely unknown and the treatment of prurigo is unsatisfactory and challenging. Conventional systemic treatments may be benef...

  • Review
  • Open Access
3 Citations
4,053 Views
15 Pages

The Central Role of Th2 Immune Response in Inflammatory Dermatoses: From Pathogenesis to Targeted Therapies

  • Valentina Pala,
  • Francois Rosset,
  • Luca Mastorino,
  • Nadia Sciamarrelli,
  • Sara Boskovic,
  • Silvia Borriello,
  • Eleonora Bongiovanni,
  • Orsola Crespi,
  • Simone Ribero and
  • Pietro Quaglino

4 November 2025

T helper 2 (Th2)-mediated dermatoses are inflammatory skin diseases driven by CD4+ Th2 cells that produce interleukin (IL)-4, IL-5, IL-13, and IL-31, promoting immunoglobulin E (IgE) class switching, eosinophil recruitment, mast cell degranulation, a...

  • Review
  • Open Access
26 Citations
5,966 Views
19 Pages

Off-Label Uses of Abrocitinib: Review of Emerging Therapeutic Applications beyond Atopic Dermatitis

  • George G. Mitroi,
  • George F. Mitroi,
  • Oana Maria Ică,
  • Florin Anghelina,
  • Mircea Sorin Ciolofan and
  • Mihaela Roxana Mitroi

6 September 2024

Abrocitinib, an oral small-molecule Janus Kinase 1 (JAK1) inhibitor, is primarily approved for treating moderate-to-severe atopic dermatitis (AD) in adults and adolescents aged 12 and older. This review examines the emerging off-label uses of Abrocit...

  • Review
  • Open Access
139 Citations
17,270 Views
16 Pages

Pruritus as a Distinctive Feature of Type 2 Inflammation

  • Simone Garcovich,
  • Martina Maurelli,
  • Paolo Gisondi,
  • Ketty Peris,
  • Gil Yosipovitch and
  • Giampiero Girolomoni

23 March 2021

Pruritus is a common symptom of several skin diseases, both inflammatory and neoplastic. Pruritus might have a tremendous impact on patients’ quality of life and strongly interfere with sleep, social, and work activities. We review the role of type-2...

  • Article
  • Open Access
11 Citations
7,048 Views
12 Pages

Efficacy and Satisfaction of Low Doses UVA1 Phototherapy: A Spanish Experience from a Single Centre

  • Juan Pablo Velasco-Amador,
  • Laura Linares-Gonzalez and
  • Francisco Javier De la Torre-Gomar

28 February 2023

Background: UVA1 phototherapy is a treatment used for multiple dermatological conditions. The optimal therapeutic regimens and dosing of UVA1 are a matter of debate. The dosages used vary widely between published studies and there are no evidence-bas...