When to start worrying about a chronic itch

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When to start worrying about a chronic itch
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There are hundreds of reasons people scratch. Some are minor; some are signs of illnesses.

By Marlene Cimons May 12 at 1:00 PM I have an occasional “phantom” itch in the middle of my back in a place I can’t reach. I use a long-handled comb to give it a good scratch. There’s no obvious cause — no rash, no irritation or redness, no diagnosed skin disorder. It’s annoying, but it doesn’t disrupt my life.

There are hundreds of reasons people itch. These range from dry skin and such skin disorders as psoriasis, to “contact” dermatitis from rough clothing, pet dander, soaps, laundry detergents and perfume — collectively known as eczema — as well as more painfully familiar conditions such as bug bites or poison ivy.

“One thing that may surprise people is that having a bad neck or back can cause itching due to damage to the nerves that come from your spinal cord,” Kim says. “Another thing people may not know is that in rare cases, cancer — particularly lymphomas and leukemias — can present with itch.” Kim and others believe the body’s immune system is a player. “We may think our immune responses end in our immune system,” Kim says. “But the itch-scratch cycle engages the immune system with the whole body, interacting with behavior and the environment as well.”

If an itch lasts more than a month, it’s probably time to see a doctor. Most people are reluctant to do so for a minor itch, and resort to over-the-counter remedies, which are too weak to have an effect, Keahey says.

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