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Case report
Severe itch from miliaria managed with propantheline: a case report
  1. Ronald Wai1,2,
  2. Brodie Sheahen3,4 and
  3. Benjamin Thomas1,5
  1. 1Palliative Medicine, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia
  2. 2School of Medicine, The University of Newcastle Australia, Callaghan, New South Wales, Australia
  3. 3Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia
  4. 4The University of Sydney Faculty of Medicine and Health, Sydney, New South Wales, Australia
  5. 5University of Wollongong Graduate School of Medicine, Wollongong, New South Wales, Australia
  1. Correspondence to Dr Ronald Wai, Palliative Medicine, Illawarra Shoalhaven Local Health District, Wollongong, New South Wales, Australia; ronald.k.h.wai{at}gmail.com

Abstract

Itch is a common symptom faced in palliative care. In this case report, we present a patient in his 80s with a background of prostate and bladder cancer who fell and was subsequently immobile following a resultant vertebral fracture. He experienced persistent and distressing pruritis during his hospital stay. This case highlights the assessment and management of pruritis in a palliative care setting, eventually leading to a diagnosis of miliaria which was successfully treated with Propantheline.

  • Palliative Care
  • Quality of life
  • Pruritis
  • Supportive care

https://doi.org/10.1136/spcare-2024-005111

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    Footnotes

    • X @andiyarus

    • Collaborators Not applicable.

    • Contributors RW was responsible for conception, information collection, writing and reviewing of the article. BS was responsible for information collection and writing the article. BT was responsible for critically reviewing and approval of the final version for submission.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.