{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T03:12:01Z","timestamp":1793502721476,"version":"4.5.0"},"reference-count":19,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Surgical Clinics of North America"],"published-print":{"date-parts":[[2026,2]]},"DOI":"10.1016\/j.suc.2025.08.006","type":"journal-article","created":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T09:30:20Z","timestamp":1757755820000},"page":"23-34","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["Pruritis Ani"],"prefix":"10.1016","volume":"106","author":[{"given":"Michael","family":"Newman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipen","family":"Maun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Dolejs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.suc.2025.08.006_bib1","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s12262-023-03887-w","article-title":"Pruritus Ani\u2014Not an itch that can be ignored","volume":"86","author":"Mahapatra","year":"2024","journal-title":"Indian J Surg"},{"issue":"6","key":"10.1016\/j.suc.2025.08.006_bib2","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1308\/003588408X317940","article-title":"Pruritus ani","volume":"90","author":"Siddiqi","year":"2008","journal-title":"Ann R Coll Surg Engl"},{"issue":"01","key":"10.1016\/j.suc.2025.08.006_bib3","doi-asserted-by":"crossref","first-page":"038","DOI":"10.1055\/s-0035-1570391","article-title":"Pruritus ani","volume":"29","author":"Ansari","year":"2016","journal-title":"Clin Colon Rectal Surg"},{"issue":"1","key":"10.1016\/j.suc.2025.08.006_bib4","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1186\/s40001-023-01018-5","article-title":"Evaluation, management and future perspectives of anal pruritus: a narrative review","volume":"28","author":"Jakubauskas","year":"2023","journal-title":"Eur J Med Res"},{"issue":"4","key":"10.1016\/j.suc.2025.08.006_bib5","article-title":"Anogenital pruritus \u2013 an overview","volume":"10","author":"Swamiappan","year":"2016","journal-title":"J Clin Diagn Res"},{"issue":"3","key":"10.1016\/j.suc.2025.08.006_bib6","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1007\/s13555-021-00513-z","article-title":"Gabapentinoids for pruritus in older adults: a narrative review","volume":"11","author":"Sreekantaswamy","year":"2021","journal-title":"Dermatology and Therapy"},{"issue":"05","key":"10.1016\/j.suc.2025.08.006_bib7","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1055\/s-0039-1687827","article-title":"Idiopathic pruritus ani and acute perianal dermatitis","volume":"32","author":"Ortega","year":"2019","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.suc.2025.08.006_bib8","doi-asserted-by":"crossref","first-page":"77","DOI":"10.7150\/ijms.6.77","article-title":"Relationship between anal symptoms and anal findings","volume":"6","author":"Kuehn","year":"2009","journal-title":"Int J Med Sci"},{"issue":"10","key":"10.1016\/j.suc.2025.08.006_bib9","doi-asserted-by":"crossref","first-page":"3198","DOI":"10.18203\/2349-2902.isj20184067","article-title":"The role of topical steroids in the treatment of primary pruritus ani: a systematic review","volume":"5","author":"Trejo-\u00c1vila","year":"2018","journal-title":"International Surgery Journal"},{"issue":"12","key":"10.1016\/j.suc.2025.08.006_bib10","doi-asserted-by":"crossref","first-page":"1463","DOI":"10.1007\/s00384-007-0325-8","article-title":"1% hydrocortisone ointment is an effective treatment of pruritus ani: a pilot randomized controlled crossover trial","volume":"22","author":"Al-Ghnaniem","year":"2007","journal-title":"Int J Colorectal Dis"},{"issue":"1","key":"10.1016\/j.suc.2025.08.006_bib11","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1007\/s13555-012-0015-5","article-title":"Inverse psoriasis involving genital skin folds: successful therapy with dapsone","volume":"2","author":"Guglielmetti","year":"2012","journal-title":"Dermatology and Therapy"},{"issue":"2","key":"10.1016\/j.suc.2025.08.006_bib12","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.jaad.2011.05.024","article-title":"Randomized study of topical tacrolimus ointment as possible treatment for resistant idiopathic pruritus ani","volume":"66","author":"Suys","year":"2012","journal-title":"J Am Acad Dermatol"},{"key":"10.1016\/j.suc.2025.08.006_bib13","series-title":"Itch: mechanisms and management of pruritus","first-page":"110","author":"Bernhard","year":"1994"},{"key":"10.1016\/j.suc.2025.08.006_bib14","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2022.890883","article-title":"Soother trial: observational study of an over-the-counter ointment to heal anal itch","volume":"9","author":"Felemovicius","year":"2022","journal-title":"Front Med"},{"issue":"9","key":"10.1016\/j.suc.2025.08.006_bib15","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1136\/gut.52.9.1323","article-title":"Topical capsaicin--a novel and effective treatment for idiopathic intractable pruritus ani: a randomised, placebo controlled, crossover study","volume":"52","author":"Lysy","year":"2003","journal-title":"Gut"},{"issue":"12","key":"10.1016\/j.suc.2025.08.006_bib16","doi-asserted-by":"crossref","first-page":"775","DOI":"10.1111\/exd.12257","article-title":"Gentian violet: a 19th century drug re-emerges in the 21st century","volume":"22","author":"Maley","year":"2013","journal-title":"Exp Dermatol"},{"issue":"10","key":"10.1016\/j.suc.2025.08.006_bib17","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1007\/s10151-023-02825-y","article-title":"Efficacy and safety of methylene blue injection for intractable idiopathic pruritus ani: a single-arm metaanalysis and systematic review","volume":"27","author":"Jia","year":"2023","journal-title":"Tech Coloproctol"},{"issue":"2","key":"10.1016\/j.suc.2025.08.006_bib18","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1007\/s10151-019-01934-x","article-title":"Long-term follow-up of intradermal injection of methylene blue for intractable, idiopathic pruritus ani","volume":"23","author":"Kim","year":"2019","journal-title":"Tech Coloproctol"},{"issue":"7","key":"10.1016\/j.suc.2025.08.006_bib19","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1001\/jamadermatol.2024.1464","article-title":"Efficacy and safety of abrocitinib in prurigo nodularis and chronic pruritus of unknown origin","volume":"160","author":"Kwatra","year":"2024","journal-title":"JAMA Dermatol"}],"container-title":["Surgical Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039610925000921?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0039610925000921?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:23:14Z","timestamp":1763598194000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0039610925000921"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S0039610925000921"],"URL":"https:\/\/doi.org\/10.1016\/j.suc.2025.08.006","relation":{},"ISSN":["0039-6109"],"issn-type":[{"value":"0039-6109","type":"print"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Pruritis Ani","name":"articletitle","label":"Article Title"},{"value":"Surgical Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.suc.2025.08.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}