What is the eITCH
How to use the eITCH
eITCH assesses pruritus on a range of different scales, including a numerical rating scale, visual analogue scale and verbal rating scale. This includes an assessment of existing lesions and scratches, a numerical patient-given value of how much the pruritus has improved or worsened compared to the start of treatment and a visual assessment of severity and perception of the intensity (from 1 to 10).
Treatment should not only take itch into consideration, but also scratching-induced skin lesions and accompanying disorders such as anxiety, depression and insomnia.
The impact of pruritus
Chronic pruritus (itching that lasts longer than six weeks) is a common affliction, occurring in every age group globally. It is an initial symptom of a range of dermatological diseases, including, psoriasis, atopic dermatitis, and urticaria. It also commonly occurs in systemic diseases, including chronic kidney failure, cholestatic liver disease, human immunodeficiency virus (HIV), and haematopoietic disorders. It remains difficult to diagnosis, manage and treat with only a minority of patients having access to specialized pruritus clinics or receiving appropriate medical attention. For sufferers it is a stressful condition with a negative impact on quality of life. Patients with consistent pruritus report restrictions on their everyday activities, reduced levels of motivation, increased impatience, concentration difficulties, stigmatization and feelings of depression.