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It is critical to distinguish cases of widespread itch with primary skin disease (usually inflammatory) from those with secondary skin disease caused by trauma from chronic scratching (Box 3). The commonest cause of generalised pruritus is xerosis (dry skin), which is easily treated by avoidance of soap products and increased use of emollients. Generalised itch (pruritus) is a common complaint among the elderly. Older skin: how does it affect your management decisions?
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While a harmless bug bite should just disappear within a matter of a few minutes or an hour, a PNS will continue being adamant, staying the way it is, with no signs of improvement. The first thing to notice is how the bump feels. This also needs immediate medical attention as the infection can quickly spread and cause several problems. Be careful with these kinds of PNS because, if left untreated, they’ll burst and you’ll have an endless supply of foul-smelling liquid staining your pants.Ībscess: This is when your PNS infects your tissues, causing it to swell up and develop pus inside. It could have a bacterial infection inside.Ĭyst: When the boil becomes painful and then swells up with fluid or pus inside, you will have what is known as a cyst. A PNS can be extremely painful, often taking shape of a cyst or abscess. It needs a good pair of medical hands to resolve it. Normal boils take care of themselves PNS doesn’t.
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If you think it’s just another heat boil, think again.