{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:57:28Z","timestamp":1781657848840,"version":"3.54.5"},"reference-count":50,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"abstract":"Summary<\/jats:title>\n \n Background and objectives<\/jats:title>\n Chronic pruritus (CP) and chronic prurigo (CPG, including prurigo nodularis) are prevalent, debilitating diseases with diverse comorbidities, including malignancies. This retrospective cohort study evaluated the prevalence and risk of lymphoma in CP and CPG patients, including key risk factors, and sex\u2010 and ancestry\u2010related disparities.<\/jats:p>\n <\/jats:sec>\n \n Patients and methods<\/jats:title>\n We utilized electronic health records from the TriNetX US Collaborative Network (2011\u20132024), including 1,032,281 CP and 124,611 CPG patients (without prior lymphoma), matched to non\u2010CP\/non\u2010CPG controls. Lymphoma risk was evaluated up to 5\u00a0years post\u2010diagnosis. Sensitivity, sex\u2010 and ancestry\u2010stratified analyses were performed. Multivariate analyses identified risk factors.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Lymphoma developed in 0.29 % of CP (controls: 0.10 %, HR 2.90, 95 % 95 % CI: 2.71\u20133.12) and 0.30 % of CPG patients (controls: 0.10 %, HR 2.85, 95 % CI: 2.33\u20103.48; both p\u00a0<\u00a00.0001). The HR for cutaneous lymphoma was 6.62 (95 % CI 5.02\u20138.72) for CP and 10.95 (95 % CI 4.39\u201327.35) for CPG (p\u00a0<\u00a00.0001 each). Findings remained robust across all sensitivity analyses. Significant lymphoma risk factors included elevated serum lactate dehydrogenase, beta 2\u2010microglobulin, male sex, immunosuppressant use, and White ancestry.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n CP and CPG patients have an increased lymphoma risk, linked to specific biomarkers, highlighting the importance of increased clinical vigilance in their management.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ddg.70057","type":"journal-article","created":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T07:34:24Z","timestamp":1775460864000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Elevated lymphoma risk in patients with chronic pruritus and chronic prurigo"],"prefix":"10.1111","author":[{"given":"Svenja","family":"Royeck","sequence":"first","affiliation":[{"name":"Section Pruritus Medicine Department of Dermatology and Center for Chronic Pruritus (KCP) University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0863-7148","authenticated-orcid":false,"given":"Henning","family":"Olbrich","sequence":"additional","affiliation":[{"name":"Department of Dermatology University\u2010Hospital Schleswig\u2010Holstein (UKSH) L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steffen","family":"Koschmieder","sequence":"additional","affiliation":[{"name":"Department of Haematology Oncology Hemostaseology and Stem Cell Transplantation Faculty of Medicine RWTH Aachen University Aachen Germany"},{"name":"Center for Integrated Oncology Aachen Bonn Cologne D\u00fcsseldorf (CIO ABCD) Aachen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9485-8627","authenticated-orcid":false,"given":"Claudia","family":"Zeidler","sequence":"additional","affiliation":[{"name":"Section Pruritus Medicine Department of Dermatology and Center for Chronic Pruritus (KCP) University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4305-0713","authenticated-orcid":false,"given":"Felix","family":"Witte","sequence":"additional","affiliation":[{"name":"Section Pruritus Medicine Department of Dermatology and Center for Chronic Pruritus (KCP) University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantin","family":"Agelopoulos","sequence":"additional","affiliation":[{"name":"Section Pruritus Medicine Department of Dermatology and Center for Chronic Pruritus (KCP) University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Henning","family":"Wiegmann","sequence":"additional","affiliation":[{"name":"Section Pruritus Medicine Department of Dermatology and Center for Chronic Pruritus (KCP) University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8160-0184","authenticated-orcid":false,"given":"Michael","family":"Storck","sequence":"additional","affiliation":[{"name":"Institute of Medical Informatics University of M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes Benedict","family":"Oehm","sequence":"additional","affiliation":[{"name":"Institute of Medical Informatics University of M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf J.","family":"Ludwig","sequence":"additional","affiliation":[{"name":"Department of Dermatology University\u2010Hospital Schleswig\u2010Holstein (UKSH) L\u00fcbeck Germany"},{"name":"L\u00fcbeck Institute of Experimental Dermatology University of L\u00fcbeck L\u00fcbeck Germany"},{"name":"Institute and Comprehensive Center for Inflammation Medicine University of L\u00fcbeck L\u00fcbeck Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3612-7786","authenticated-orcid":false,"given":"Sonja","family":"St\u00e4nder","sequence":"additional","affiliation":[{"name":"Section Pruritus Medicine Department of Dermatology and Center for Chronic Pruritus (KCP) University Hospital M\u00fcnster M\u00fcnster Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1111\/bjd.20582","article-title":"Development and preliminary validation of the patient\u2010reported Chronic Itch Burden Scale assessing health\u2010related quality of life in chronic pruritus","volume":"186","author":"Theunis J","year":"2022","journal-title":"Br J 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