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Itch
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{{Short description|Uncomfortable skin sensation}} {{Other uses}} {{Infobox medical condition | name = Itch | synonyms = | image = Itch 01.JPG | caption = A man scratching his back | pronounce = | field = [[Dermatology]] | symptoms = [[Scratch reflex|Compulsion to scratch]] an irritated area of skin | complications = | onset = | duration = | types = | causes = Certain infections, allergies, blood derangements and environmental factors | risks = [[Dry skin]] | diagnosis = Often based on the causes of itching | differential = [[Pain]] | prevention = | treatment = [[Antipruritic]]s, [[phototherapy]] | medication = | prognosis = | frequency = | deaths = }} An '''itch''' (also known as '''pruritus''') is a [[Wikt:sensation|sensation]] that causes a strong desire or [[reflex to scratch]].<ref name=andersen>{{cite journal |vauthors=Andersen HH, Elberling J, Arendt-Nielsen L |title=Human surrogate models of histaminergic and non-histaminergic itch |journal=Acta Dermato-Venereologica |volume=95 |issue=7 |pages=771β777 |date=September 2015 |pmid=26015312 |doi=10.2340/00015555-2146 |doi-access=free}}</ref> Itches have resisted many attempts to be classified as any one type of [[sense|sensory]] experience. Itches have many similarities to [[pain]], and while both are unpleasant sensory experiences, their behavioral response patterns are different. Pain creates a [[withdrawal reflex]], whereas itches leads to a [[scratch reflex]].<ref name=ikoma>{{cite journal |vauthors=Ikoma A, Steinhoff M, StΓ€nder S, Yosipovitch G, Schmelz M |display-authors=3 |title=The neurobiology of itch |journal=Nature Reviews. Neuroscience |volume=7 |issue=7 |pages=535β547 |date=July 2006 |pmid=16791143 |doi=10.1038/nrn1950 |s2cid=9373105}}</ref> Unmyelinated [[nerve fibers]] for itches and pain both originate in the [[skin]]. Information for them is conveyed centrally in two distinct systems that both use the same [[nerve]] bundle and [[spinothalamic tract]].<ref>{{cite journal |vauthors=Greaves MW, Khalifa N |title=Itch: more than skin deep |journal=International Archives of Allergy and Immunology |volume=135 |issue=2 |pages=166β172 |date=October 2004 |pmid=15375326 |doi=10.1159/000080898 |s2cid=13376216}}</ref>
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