Evidence map›Paper›PMID 42247108›Full record

ReviewDermatology and therapy2026

The State of the Art in Chronic Prurigo Nodularis.

Esther Serra-Baldrich, Ángeles Flórez, Marc Julià Manresa, Francisco Javier Ortiz de Frutos, José-Juan Pereyra-Rodriguez, Bibiana Pérez, Ignasi Figueras

Abstract readReview
In one paragraph

Review in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Esther Serra-BaldrichServicio de Dermatología, Hospital de la Santa Creu i Sant Pau, Carrer de Sant Quintí, 89, Horta-Guinardó, 08025, Barcelona, Spain. eserra@santpau.cat.ORCID http://orcid.org/0000-0001-7603-0300
Ángeles FlórezServicio de Dermatología, Hospital Universitario de Santiago de Compostela, Grupo de Investigación Traslacional en Enfermedades Dermatológicas, Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Facultad de Medicina y Odontología, Universidad de Santiago de Compostela, Santiago de Compostela, Spain.
Marc Julià ManresaServicio de Dermatología, Hospital Universitario de Basurto, Bilbao, Spain.
Francisco Javier Ortiz de FrutosServicio de Dermatología, Hospital Universitario 12 de Octubre, Madrid, Spain.
José-Juan Pereyra-RodriguezServicio de Dermatología, Hospital Universitario Virgen del Rocío, Departamento de medicina, Facultad de medicina, Universidad de Sevilla, Seville, Spain.
Bibiana PérezServicio de Dermatología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Ignasi FiguerasServicio de Dermatología, Hospital Universitario de Bellvitge, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic prurigo nodularis (CPN) is a highly burdensome chronic inflammatory dermatosis characterized by intensely pruritic papulonodular lesions that may persist for years. Its pathophysiology reflects a neuro-immune-fibrotic axis in which type-2 cytokines (IL-4/IL-13/IL-31), neuropeptides, and profibrotic signaling interact to sustain the itch-scratch cycle and dermal fibrosis. CPN predominantly affects older adult women and is frequently associated with dermatologic, neuropsychiatric, and cardiometabolic comorbidities. Definition, nomenclature, and management remain areas of debate, with relevant differences between European and US consensus documents. The therapeutic landscape has expanded with dupilumab and nemolizumab, the only agents currently supported by phase III evidence, whereas JAK inhibitors remain promising but investigational options that require careful safety contextualization. This narrative review synthesizes current knowledge on CPN, from definition and epidemiology to etiopathogenesis and evolving therapy, while highlighting persistent unmet needs in diagnosis and management.

Indexed as

FibrosisImmune dysregulationNeural dysregulationPrurigoPruritusQuality of life

Identifiers

PMID42247108
PMCPMC13280267

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.