PMID- 33842662 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210413 IS - 2305-5839 (Print) IS - 2305-5847 (Electronic) IS - 2305-5839 (Linking) VI - 9 IP - 5 DP - 2021 Mar TI - Pruritus in autoimmune connective tissue diseases. PG - 441 LID - 10.21037/atm-20-4894 [doi] LID - 441 AB - Pruritus is one of the most common and bothersome symptoms of skin disorders, and its clinical characteristics and related pathomechanisms have been well described in certain dermatologic conditions, such as atopic dermatitis and urticaria. Although pruritus is believed to be as common in cutaneous autoimmune connective tissue diseases (ACTDs) as in other inflammatory skin disorders, its true characteristics have not been elucidated either qualitatively or quantitatively. Pruritus is present in ACTDs with various prevalence rates, characteristics, and mechanisms depending on the disease types. Pruritus most frequently and severely affects the patients with dermatomyositis, in which itch is strongly correlated with disease activity and severity, thus increased itch could also indicate a disease flare. Patients with other ACTDs, including lupus erythematosus (LE), Sjogren syndrome (SS), morphea, and systemic sclerosis (SSc), also suffer from their fair share of pruritus. Unfortunately, the currently available treatments for ACTDs seem to have only limited and unsatisfactory effects to control pruritus. The extensive impact of pruritus on the patients' quality of life (QOL) and functioning warrants more targeted and individualized approaches against pruritus in ACTDs. This review will address the prevalence, suggested pathogenesis based on currently available evidences, and potential treatment options of pruritus in various ACTDs of the skin. CI - 2021 Annals of Translational Medicine. All rights reserved. FAU - Kim, Hee Joo AU - Kim HJ AD - Department of Dermatology, Gachon Gil Medical Center, Gachon University College of Medicine, Incheon, South Korea. LA - eng PT - Journal Article PT - Review PL - China TA - Ann Transl Med JT - Annals of translational medicine JID - 101617978 PMC - PMC8033328 OTO - NOTNLM OT - Autoimmune connective tissue disease (ACTD) OT - itch OT - pathogenesis OT - pruritus COIS- Conflicts of Interest: The author has completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/atm-20-4894). The series "Rheumatologic Skin Disease" was commissioned by the editorial office without any funding or sponsorship. The author has no other conflicts of interest to declare. EDAT- 2021/04/13 06:00 MHDA- 2021/04/13 06:01 PMCR- 2021/03/01 CRDT- 2021/04/12 06:25 PHST- 2021/04/12 06:25 [entrez] PHST- 2021/04/13 06:00 [pubmed] PHST- 2021/04/13 06:01 [medline] PHST- 2021/03/01 00:00 [pmc-release] AID - atm-09-05-441 [pii] AID - 10.21037/atm-20-4894 [doi] PST - ppublish SO - Ann Transl Med. 2021 Mar;9(5):441. doi: 10.21037/atm-20-4894.