JOHN E. NESTLER, M.D.
To the editor: Idiopathic hemochromatosis, a heritable disorder of iron metabolism, has been associated with various skin manifestations (1) but has not been reported to cause pruritus. I have seen a patient with this disease, whose only presenting symptom was pruritus. The pruritus resolved with treatment of his idiopathic hemochromatosis.
A 66-year-old man had intense pruritus precipitated by showering. The pruritus had been present for at least 2 years, and was described as a "pins and needles" sensation that primarily involved the anterior and posterior thorax. It occurred when showering, and lasted 30 minutes after. Warmer water made the pruritus
NESTLER JE. Hemochromatosis and Pruritus. Ann Intern Med. ;98:1026. doi: 10.7326/0003-4819-98-6-1026_1
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Published: Ann Intern Med. 1983;98(6):1026.
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