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© 2012 The Authors. doi: 10.2340/00015555-1244 Journal Compilation © 2012 Acta Dermato-Venereologica. ISSN 0001-5555 Pruritus vulvae is caused by a variety of skin diseases, as well as by neuropathic/neurological, psychosomatic and psychiatric diseases. It is difficult to determine the pathogenesis of itching symptoms over the vulval area, but ongoing inflammatory reactions, may be responsible for lowering the perception threshold of itching (1, 2). A variety of topical treatments has been used to reduce genital pruritus, including menthol, camphor, tannin preparations, local anaesthetics, antiseptics, urea preparations, glucocorticosteroids, immunomodulators and N-palmitoyl-ethanolamine-containing cream (3). General advice for relief of pruritic symptoms include avoiding sweating and occlusion of the skin, and reducing potential irritative cleansing habits. Empirical observation supports the use of cold compression over the pruritic skin lesion to relieve unpleasant nociception, such as itch and sensation of heat. Thus, local cooling sense evoked by TRPM8 activation can give a wisdom of controlling pruritus as shown in this case.

Topical TRPM8 Agonist (Icilin) Relieved Vulva Pruritus Originating From Lichen Sclerosus et Atrophicus