Refractory pruritus from malignant cholestasis: management

被引:0
|
作者
Fernando, G. V. M. C. [1 ,2 ,4 ]
Preston, Nancy [3 ]
机构
[1] Univ Sri Jayewardenepura, Natl Ctr Primary Care & Allergy Res, Nugegoda, Sri Lanka
[2] Univ Sri Jayewardenepura, Fac Med Sci, Dept Family Med, Nugegoda, Sri Lanka
[3] Univ Lancaster, Int Observ End Life Care, Lancaster, England
[4] Univ Sri Jayewardenepura, Natl Ctr Primary Care & Allergy Res, Nugegoda 10100, Sri Lanka
关键词
cancer; jaundice; gastrointestinal (upper); pruritis; hospital care; PATHOPHYSIOLOGY; ACID;
D O I
10.1136/bmjspcare-2019-002051
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This case report deals with a patient managed in a tertiary-care cancer hospital who suffered pruritus associated with malignant cholestasis. His symptoms were resistant to conventional treatment with ursodeoxycholic acid, chlorpheniramine and cholestyramine. Hence, the multifactorial origin of malignancy-associated pruritus was considered. Correctable factors were corrected and generally the treatment was aimed at possible aetiologies. There were barriers related to insufficient resources available for symptom palliation in this particular setting, which could potentially reduce optimum symptom control. However, various pharmacotherapies and non-pharmacological measures which could potentially have helped relieve pruritus are described and future scope for research in this area discussed.
引用
收藏
页码:E78 / E80
页数:3
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