Anal pruritus: Don’t look away

Figure 1  Erythema in the perianal area (stage 1 Washington classification).

Figure 2  Lichenified skin (stage 2 Washington classification).

Figure 3  Severe lichenified skin with ulcerations (stage 3 Washington classification).

Figure 4 Initial evaluation and follow-up after treatment. A: In a woman with anal pruritus, observation revealed skin tags and lichenified skin with small ulcerations of the perianal area; B: One month after treatment (proper hygiene, elimination of irritants and topical capsaicin 0.006%) anal pruritus resolved with improvement of the perianal area.