Approach to the Assessment and Management of Adult Patients With Prurigo Nodularis: A Canadian Consensus

Prurigo nodularis (PN) is a chronic neuroimmune‐mediated skin disease that requires comprehensive assessment and targeted management to optimize patient care. The objective of this consensus exercise was to generate an evidence‐based overview of the diagnosis and management of patients with PN for Canadian dermatologists and other healthcare professionals. Based on a review of the current literature and guided by a steering committee of 4 Canadian experts in the management of PN, statements were developed on the topics of disease definition, pathophysiology, assessment, and treatment. A panel of 14 dermatologists and 1 allergist used an 11‐point Likert scale to vote on their belief of agreement with statements generated using a modified Delphi process. Six statements reached consensus. Reflecting the consolidated clinical opinions and experience of the expert panel, these recommendations aim to guide Canadian physicians on the diagnosis and treatment of PN.