Síndrome de sezary como causa de prurito en el anciano

Abstract

Pruritus can be defined as a "special sensation" in the skin, physiological or pathological, that moves to scratch. It can appear because of many causes so, diagnosis of pruritus due to "dry skin" mustn't be done too quickly (specially in old age) without excluding previously other pruritus causes, both cutaneous (as psoriasis, neoplasias, etc.) both internal (drugs, iron-deficiency, hyper or hypothyroidism, etc.). We report the case of a 87 years old woman complaining a long evolution pruritus, whose study was concluded as Sezary syndrome, leukemic expression of mycosis fungoides (cutaneous T-cell lymphoma). We also explain differential diagnosis of chronic pruritus, its management and the necessary relation between Primary Health Care and Specialized Assistance.