Logical Approach to a Child with Chronic Itch

Abstract Itching, which is a frequent complaint in childhood, effects the quality of life ofboth the patient and their parents. It’s called ‘chronic itch’ if it lasts more than 6 weeks. Infectious and parasitic agents, immune defficiency syndromes, congenital diseases, malignancies, psychologic factors and systemic diseases as well as various dermatosis and skin diseases may cause itching in children. So a detailed history should be taken and a full physical examination should be carried out. Diagnostic testsare planed according to the presumptive diagnosis. The treatment aproach is determined by the age and the diagnosis of the patient