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Prurigo Nodularis
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Systemic Treatments for the Management of Prurigo Nodularis : Episode 4

Opinion

Video

January 10, 2025

Optimizing Severe Prurigo Nodularis Treatment in a 65-Year-Old Male With Multiple Comorbidities

Author(s):

A panelist discusses how this patient's history of chronic kidney disease, diabetes, and psychological stress are significant contributing factors to his prurigo nodularis, necessitating a comprehensive treatment approach that addresses both the underlying conditions and the itch-scratch cycle.

EP: 1.Understanding Patient Comorbidities and Burden of Disease in Prurigo Nodularis

EP: 2.Advances in Systemic Treatment Options for Prurigo Nodularis

EP: 3.Managing Moderate Prurigo Nodularis in a 52-Year-Old Female With Atopic Dermatitis

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EP: 4.Optimizing Severe Prurigo Nodularis Treatment in a 65-Year-Old Male With Multiple Comorbidities

Please provide your initial impressions of this case. What factors in this patient’s history may be contributing to his prurigo nodularis?
What are the treatment goals for this patient? What nonpharmacologic measures would you discuss with this patient to aid in breaking the itch-scratch cycle?
Describe your approach to treatment options for this patient. Would he be a candidate for a systemic treatment such as dupilumab or nemolizumab?