**1. Introduction**

Anal pruritus is an uncomfortable condition that often isolates patients and causes delays in seeking medical attention due to embarrassment. Pruritus ani is a benign condition defined as itching or burning sensation of the skin of the perianal region [1]. In many cases, multiple factors are implicated, making a precise diagnosis challenging. Typically, patients present after attempting home remedies and overthe-counter medications, compounded by embarrassment to discuss these symptoms with healthcare professionals. Undoubtedly, pruritus ani is an unpleasant sensation that can greatly impact the quality of life of affected patients. The incidence in the general population is estimated to be up to 5%, affecting men in a greater proportion compared with women (4:1 ratio). Commonly, diagnosis is made in the fourth to sixth decades of life, with a slow progression of symptoms that worsen particularly at night and in warm weather due to excessive moisture of the perianal area [2–4].

Depending on the degree of involvement of the perianal skin, pruritus ani can be localized or diffuse and classified into primary (idiopathic) or secondary (associated with other pathologies) [5]. Multiple conditions have been implicated in the etiology of pruritus ani, perianal eczema being the most common cause.
