Yaygın Kaşıntı ile Başvuran Çocuk Hastaya Akılcı Yaklaşım

Öz Çocukluk çağında sık karşılaşılan bir yakınma olan kaşıntı, hem hastanın hem ailenin yaşam kalitesini etkilemektedir. 6 haftadan uzun sürdüğünde ‘kronik kaşıntı’olarak adlandırılır. Çocuklarda çeşitli dermatozlar ve cilt hastalıklarının yanı sıra, enfeksiyöz ve paraziter ajanlar, immün yetmezlikler, konjenital hastalıklar, maligniteler, psikojenik faktörler ve sistemik hastalıklar da kaşıntıya yol açabilmektedir. Bu nedenle hastalardan ayrıntılı öykü alınmalı ve detaylı fizik muayene yapılmalıdır. Tetkikler düşünülen ön tanılara göre planlanmalıdır. Tedavi yaklaşımı ise hastanın tanısına ve yaşına göre belirlenir.

Logical Approach to a Child with Chronic Itch

AbstractItching, 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. 

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