{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T22:27:14Z","timestamp":1781130434860,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T00:00:00Z","timestamp":1709164800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pruritus is a symptom profoundly impairing patients' quality of life (QoL). It is a common symptom in chronic heart failure (CHF) patients of yet unknown nature. The aim of this study was to evaluate the risk factors of pruritus in CHF patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>For this monocentric, prospective cohort study, CHF patients were recruited and CHF symptoms, comorbidities and drug intake were assessed using a structured report. Additionally, a questionnaire evaluated pruritus symptoms. Detailed medical histories including laboratory test results were retrieved from patient files for all participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We evaluated data from 550 CHF patients. Of those, 25.3% reported pruritus to occur frequently (3\u20135 times per week), often (1\u20132 times per week) or daily. Patients of higher NYHA classes (NYHA III\u2009+\u2009IV) experienced significantly more pruritus (31.2%) than lower NYHA classes (NYHA I\u2009+\u2009II) (21.1%, <jats:italic>p<\/jats:italic>\u2009=\u20090.024). Patients with pruritus reported disproportionately often concomitant stasis dermatitis (<jats:italic>p<\/jats:italic>\u2009=\u20090.026) and chronic lung disease (<jats:italic>p<\/jats:italic>\u2009=\u20090.014). Other parameters reflecting cardiac, liver, kidney and thyroid function, as well as medical therapies showed no significant differences between patients with and without pruritus. In the multivariate logistic regression analysis, only NYHA class (<jats:italic>p<\/jats:italic>\u2009=\u20090.016, OR 1.55, 95% confidence interval (CI): [1.09; 2.20]) and elevated leukocyte count (<jats:italic>p<\/jats:italic>\u2009=\u20090.007, OR 1.11, CI [1.03; 1.21]) remained significantly associated with pruritus in CHF patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>NYHA class is an independent predictor for pruritus in CHF patients. Besides NYHA class, leukocyte count was also associated with increased pruritus. Pruritus may impair QoL in CHF patients and should thus be included in the assessment of those patients. We suggest that providing best care for CHF patients can be achieved through an interdisciplinary approach of cardiologists and dermatologists and should include a pruritus assessment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jdv.19931","type":"journal-article","created":{"date-parts":[[2024,2,29]],"date-time":"2024-02-29T09:43:31Z","timestamp":1709199811000},"page":"1410-1418","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Symptom severity reflected by <scp>NYHA<\/scp> grade is independently associated with pruritus in chronic heart failure patients"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3532-8205","authenticated-orcid":false,"given":"Samira","family":"Soltani","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology Hanover Medical School  Hanover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz M.","family":"Hollstein","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology University Medical Centre G\u00f6ttingen  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominik","family":"Berliner","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology Hanover Medical School  Hanover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3139-129X","authenticated-orcid":false,"given":"Timo","family":"Buhl","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology University Medical Centre G\u00f6ttingen  G\u00f6ttingen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johann","family":"Bauersachs","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology Hanover Medical School  Hanover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Werfel","sequence":"additional","affiliation":[{"name":"Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Udo","family":"Bavendiek","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology Hanover Medical School  Hanover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4806-599X","authenticated-orcid":false,"given":"Stephan","family":"Traidl","sequence":"additional","affiliation":[{"name":"Division of Immunodermatology and Allergy Research, Department of Dermatology and Allergy Hannover Medical School  Hannover Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,29]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/archderm.139.11.1463"},{"key":"e_1_2_11_3_1","unstructured":"St\u00e4nderS ZeidlerC AugustinM DarsowU KremerA LegatF et\u00a0al.S2k\u2010Leitlinie zur Diagnostik und Therapie des chronischen Pruritus. 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