Navigating pruritus in patients with intellectual and developmental disabilities

For patients with intellectual and developmental disabilities (IDD), a population often underserved in dermatology, we sought to highlight the unique challenges of managing pruritus and to provide equitable and efficacious recommendations. Tailored approaches such as thorough chart reviews, communication aids, and longer appointments are critical in evaluation. Recognition and mitigation of biases ensure accurate assessments. During physical examinations, accommodations like visual aids and stepwise approaches can alleviate anxiety and improve patient cooperation. Testing and therapy should emphasize the patient’s needs, promoting tolerability and shared decision-making. Through these means, clinicians can improve outcomes and promote health equity for this vulnerable population.