Author: Dr Varitsara Mangkorntongsakul, Junior Medical Officer, Central Coast Local Health District, Gosford/Hamlyn Terrace, NSW, Australia. DermNet NZ Editor in Chief: Adjunct A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand. Copy edited by Gus Mitchell/Maria McGivern. August 2018.
Winter itch, also known as pruritus hiemalis, is a type of subclinical dermatitis, that affects individuals during cold weather.
Winter itch can affect the healthy population of all ages, but has a higher prevalence in older people with dry skin.
The exact cause of winter itch is unknown. Factors associated with winter itch include:
Similar symptoms have also been reported in patients exposed to refrigerated air conditioning during the summer months. Winter itch is not influenced by frequency of bathing or by the temperature of the bath water.
Winter itch does not cause a primary visible rash. The affected skin generally appears healthy, but usually slightly dry.
Secondary lesions arise as a consequence of chronic scratching.
Winter itch can be associated and confused with other diseases that cause itchiness, particularly dermatitis (where there is a visible rash), and pruritus associated with systemic diseases (which tends to be generalised).
Detailed history taking and careful examination are important to rule out other potential causes of pruritus.
Treatment is mainly to provide symptomatic relief and prevent scratching.
Winter itch normally resolves after the winter months.
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