**Abstract**

Pruritus ani is a benign anorectal disorder characterized by an itching sensation of the perianal skin. It is a source of embarrassment and frustration for those who suffer from it. Multiple conditions can be responsible for perianal itching; however, most cases are idiopathic. Skin breakdown from constant scratching creates a vicious cycle exacerbating the symptoms. Empiric treatment resolves the problem in most cases, but additional testing should be performed when deemed necessary. Guided management to control associated diseases, lifestyle modifications, as well as skin protection, is paramount in the management.

**Keywords:** pruritus, itching, perianal skin, irritation
