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Anthony M. R. Downs, MD, MRCP; Cameron T. C. Kennedy, MD, FRCP
From the Department of Dermatology, Bristol Royal Infirmary, Bristol, England.

Arch Dermatol. 1998;134:925-926.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 61-year-old woman presented with a 2-year history of intense itching of her palms and soles. The irritation was relieved only by plunging her hands and feet into cold water. She would awaken at least 4 times per night to rub her hands and feet for 15 minutes before falling asleep again. Her symptoms were more marked in the summer compared with the winter. Her medical history included chronic obstructive pulmonary disease, hiatal hernia, nasal polyps, and 3 previous deep vein thrombi. She took sulfalene tablets and ipratropium bromide, albuterol, and beclomethasone dipropionate aerosol inhalers during the winter for her bronchitis.

On examination, her hands and feet appeared healthy. There were no color changes, dryness, or abnormal neurologic symptoms. Investigation showed that the results of a complete blood cell count, electrolyte levels, liver function tests, immunoglobulin profile, total . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT

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