Perianal Methylene Blue Injection in Patient With Pruritus Ani Unresponsive To Medical Treatment: Video Presentation

Abstract

Pruritus Ani is one of the common dermatological diseases of the perianal skin in the general population. This disease affects 1%-5% of the society. It presents as itching and burning in the perianal area. Men are affected four times more than women, and it is diagnosed most commonly in the fourth to sixth decades of life. This disease, which is most commonly seen as idiopathic, may develop secondary to infectious factors such as staph. aureus, candida albicans, thinning of the perianal skin due to the long-time use of topical steroids, dermatological diseases such as psoriasis or malignancies. The treatment of the underlying disease constitutes the main treatment for the secondary disease, and in the idiopathic disease, a wide range of treatment methods are used, from conservative treatments to various medical treatments and injection of various substances into the perianal area. In this video presentation, it is aimed to present the application of methylene blue injection to the perianal skin in a patient with idiopathic pruritus ani unresponsive to medical treatment.

Keywords

• methylene blue injection
• perianal itching
• pruritus ani