Brachioradial pruritus is a common condition that is not well-recognized by most practitioners. I saw my first patient with brachioradial pruritus (BRP) in 1983 when I practiced dermatology in Hawaii.  She was a middle-aged woman with intractable pruritus over the dorsolateral (brachioradial) aspect of her left arm proximal and distal to the elbow.  I remember her well since an article on the subject had recently appeared in the Archives of Dermatology1.  Her general doctor had told her it was “nerves” and prescribed amytriptylene, which at the time was primarily an antidepressant. BRP is more commonly encountered in tropical and sub-tropical areas, and over the next few years I saw a fair … Continue reading →