Evidence map›Paper›PMID 40095896›Full record

ReviewJournal of clinical medicine2025

The Relationship Between Chronic Pruritus, Attention-Deficit/Hyperactivity Disorder, and Skin Picking-A Case Series and Narrative Review.

Eva Loos, Suzan Sekar, Christiane Rosin, Alexander A Navarini, Chrysovalandis Schwale, Rainer Schaefert, Simon Müller

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Eva LoosDepartment of Dermatology, University Hospital and University of Basel, CH-4031 Basel, Switzerland.
Suzan SekarDepartment of Dermatology, University Hospital and University of Basel, CH-4031 Basel, Switzerland.
Christiane RosinDepartment of Psychosomatic Medicine, University Hospital and University of Basel, CH-4031 Basel, Switzerland.
Alexander A NavariniDepartment of Dermatology, University Hospital and University of Basel, CH-4031 Basel, Switzerland.
Chrysovalandis SchwaleDepartment of Psychosomatic Medicine, University Hospital and University of Basel, CH-4031 Basel, Switzerland.
Rainer SchaefertDepartment of Psychosomatic Medicine, University Hospital and University of Basel, CH-4031 Basel, Switzerland.ORCID 0000-0002-3077-7289
Simon MüllerDepartment of Dermatology, University Hospital and University of Basel, CH-4031 Basel, Switzerland.ORCID 0000-0002-0200-4254

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pruritus (CP), attention-deficit/hyperactivity disorder (ADHD), and skin picking disorder (SPD) are medical conditions that involve both somatic and psychosocial dimensions, posing unique challenges in clinical management. While CP and SPD are often observed together, the link between ADHD and these conditions is less recognized. This conceptual work describes three women who suffered from a complex interplay of CP, ADHD, and SPD treated at our specialized bi-disciplinary psychodermatological pruritus clinic. Based on our clinical observation and a narrative review of the literature, we assume a bidirectional, triangular relationship between CP, ADHD, and SPD. To support this assumption, we propose two hypotheses: (1) a neurodevelopmental hypothesis, emphasizing that an underlying neurodevelopmental disorder, in this case, ADHD, might present with symptoms like dysfunction of sensory processing, impulsivity, and attention deficits as shared features that reinforce CP and SPD, and (2) a neuroinflammatory hypothesis, suggesting that similar neuroinflammatory signatures promote the co-occurrence of CP, ADHD, and SPD. In addition, we provide specific suggestions derived from our clinical experience on how to manage patients with this complex combination of conditions. Elucidating the interplay between CP, ADHD, and SPD might help develop personalized treatment strategies and improve outcomes.

Indexed as

ADHDitchitchingmentalprurigo nodularisprurituspsychodermatologypsychometric assessmentpsychotherapyscratchingscreening toolsskin picking

Identifiers

PMID40095896
PMCPMC11901303

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.