
Quelles sont les causes des démangeaisons de la peau ?
Revu par Dr Colin Tidy, MRCGPRédigé par Dr Sarah JarvisPublié à l'origine 9 Aug 2018
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Qui n'a pas ressenti le soulagement bienheureux de se gratter ? Tout le monde a des démangeaisons de temps en temps, généralement à cause de piqûres d'insectes, d'eczéma, d'allergies ou d'irritations dues à quelque chose qu'ils ont touché. Mais parfois, les démangeaisons peuvent être le signe d'une maladie plus grave - alors comment faire la différence ?
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Common causes of itching
Démangeaisons is a symptom, not a medical condition. It's usually caused by a stimulus in your skin. For instance, with infectées you're reacting to saliva injected at the site of the bite. With nits, you can develop an allergy to the head lice (the itching isn't due to them biting). If a local cause is to blame, you'll usually have a rash.
Sometimes, though, a sensation of itching comes from messages sent by your brain - these tend to cause itching all over your body. For instance, jaunisse (caused by liver problems) and une maladie rénale chronique can both cause itching. However, if you feel otherwise well and don't have any other symptoms like yellow skin or severe tiredness, this is unlikely. If you've recently started a new medicine and develop itching, speak with your pharmacist or GP
Dermatite is the medical term for any inflammation of the skin. Eczéma, commonly found in children, is a kind of dermatitis. It causes dry, inflamed skin and sometimes intense itching. In children, it's most commonly seen on the front of the elbows and the backs of the knees. Anyone can get 'irritant dermatitis' from chemicals (eg, in cleaning fluids, detergents, some plants) - this most commonly affects your hands, as they're most often in contact with the chemicals.
'Contact dermatitis' is caused by allergy to whatever you touch. The tiniest contact can cause an itchy, inflamed red rash. Nickel jewellery or belt studs, cosmetics and preservatives in creams can all be to blame. You may need a referral for 'patch testing' to see what the culprit is, and must avoid all contact in future.
A very serious allergic reaction called anaphylaxie causes sudden, intense all-over itching as well as swelling of your lips/tongue/throat, shortness of breath, palpitations, and collapse. Causes include food (especially nuts), insect stings and medicines. It's not common but definitely a medical emergency.
What treatments can relieve itching?
Treatment very much depends on the cause. For instance, if you have all-over itching, your doctor will do analyses de sang for conditions like l'anémie and thyroid, kidney or liver disease. Local itchy rashes caused by allergy or inflammation often respond to steroid creams.
Comment vous aider vous-même
If you do suffer from itching, there are lots of ways you can help yourself.
Tame your talons
Keep your fingernails short - it reduces damage to your skin if you do scratch an itch. Cotton gloves at night can help too.
Stay cool
You may be among the few who don't revel in the prospect of spring tripping its way brightly towards summer, as staying cool relieves itching. Lukewarm baths or showers can help. So can having separate bedclothes from your other half, so you can stay cool even if they want to snuggle under a thick duvet. Wear breathable clothes - ideally cotton - and avoid woollen clothes, especially next to your skin.
Go fragrance-free
Scented bubble baths, soaps and even shampoos can irritate sensitive skin - talk to your pharmacist about a non-irritant soap substitute such as aqueous cream. Keep a small pot of this in your handbag to use when you're out if you get itchy hands.
Moisturisers are great but you may need to apply them several times a day for best effect. Water, oddly, can dry your skin out, so always put moisturisers on after bathing. Again, your pharmacist can advise on unscented ones which won't irritate your skin.
Try not to scratch!
While it can be horribly hard to resist the urge to scratch, never forget the 'itch-scratch' cycle! Scratching may seem blissful at the time, but it leads to chemicals being released under your skin which can make you feel even itchier. That chemical, by the way, is histamine - which is why antihistamine tablets can help many (but not all) types of itch so much. If itching is stopping you sleeping, a 'drowsy-making' antihistamine like chlorphenamine (Piriton) can be a good option.
Avec remerciements au magazine 'My Weekly' où cet article a été initialement publié.
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À propos du critiqueVoir la biographie complète

Dr Colin Tidy, MRCGP
Médecin généraliste, Auteur médical
MBBS, MRCGP, MRCP (Paediatrics), DCH
Le Dr Colin Tidy est un médecin du NHS, basé dans l'Oxfordshire.
Historique de l'article
Article également disponible en Anglais, Allemand, Espagnol, Français, Italien, Portugais, Hindi, Hébreu, Arabe, and Suédois.
9 Aug 2018 | Publié à l'origine
Écrit par :
Dr Sarah JarvisRevu par
Dr Colin Tidy, MRCGP
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