Chronic pruritus ani — DVA SoP factors

Reasonable Hypothesis (RH) — Statement of Principles No. 31 of 2019

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting chronic pruritus ani or death from chronic pruritus ani with the circumstances of a person's relevant service:

1. (1)
   an inability to maintain adequate anal hygiene for at least the four weeks before the clinical onset of chronic pruritus ani;

   Note: adequate anal hygiene is defined in the Schedule 1 - Dictionary.

2. (2)
   undertaking excessive cleansing of the perianal area for at least the four weeks before the clinical onset of chronic pruritus ani;

   Note: excessive cleansing of the perianal area is defined in the Schedule 1 - Dictionary.

3. (3)
   having daily episodes of diarrhoea for at least the seven days before the clinical onset of chronic pruritus ani;

   Note: diarrhoea is defined in the Schedule 1 - Dictionary.

4. (4)
   having faecal incontinence for at least the four weeks before the clinical onset of chronic pruritus ani;

   Note: faecal incontinence is defined in the Schedule 1 - Dictionary.

5. (5)
   having a condition from the specified list of rectal, anal and perianal conditions at the time of the clinical onset of chronic pruritus ani;

   Note: specified list of rectal, anal and perianal conditions is defined in the Schedule 1 - Dictionary.

6. (6)
   having a perianal or anal infection from the specified list of infections, at the time of the clinical onset of chronic pruritus ani;

   Note: specified list of infections is defined in the Schedule 1 - Dictionary.

7. (7)
   having a perianal or anal infestation with an agent from the specified list of infestations, at the time of the clinical onset of chronic pruritus ani;

   Note: specified list of infestations is defined in the Schedule 1 - Dictionary.

8. (8)
   having a pathological vaginal discharge at the time of the clinical onset of chronic pruritus ani;

   Note: pathological vaginal discharge is defined in the Schedule 1 - Dictionary.

9. (9)
   having a dermatological disease from the specified list of dermatological diseases affecting the perianal or anal region at the time of the clinical onset of chronic pruritus ani;

   Note: specified list of dermatological diseases is defined in the Schedule 1 - Dictionary.

10. (10)
    having a systemic disease from the specified list of systemic diseases at the time of the clinical onset of chronic pruritus ani;

    Note: specified list of systemic diseases is defined in the Schedule 1 - Dictionary.

11. (11)
    undergoing a course of therapeutic radiation for cancer, where the perianal region was in the field of radiation, within the 30 days before the clinical onset of chronic pruritus ani;
12. (12)
    having corticosteroid-related atrophy of the perianal skin at the time of the clinical onset of chronic pruritus ani;
13. (13)
    an inability to maintain adequate anal hygiene for at least the four weeks before the clinical worsening of chronic pruritus ani;

    Note: adequate anal hygiene is defined in the Schedule 1 - Dictionary.

14. (14)
    undertaking excessive cleansing of the perianal area for at least the four weeks before the clinical worsening of chronic pruritus ani;

    Note: excessive cleansing of the perianal area is defined in the Schedule 1 - Dictionary.

15. (15)
    having daily episodes of diarrhoea for at least the seven days before the clinical worsening of chronic pruritus ani;

    Note: diarrhoea is defined in the Schedule 1 - Dictionary.

16. (16)
    having faecal incontinence for at least the four weeks before the clinical worsening of chronic pruritus ani;

    Note: faecal incontinence is defined in the Schedule 1 - Dictionary.

17. (17)
    having a condition from the specified list of rectal, anal and perianal conditions at the time of the clinical worsening of chronic pruritus ani;

    Note: specified list of rectal, anal and perianal conditions is defined in the Schedule 1 - Dictionary.

18. (18)
    having a perianal or anal infection from the specified list of infections, at the time of the clinical worsening of chronic pruritus ani;

    Note: specified list of infections is defined in the Schedule 1 - Dictionary.

19. (19)
    having a perianal or anal infestation with an agent from the specified list of infestations, at the time of the clinical worsening of chronic pruritus ani;

    Note: specified list of infestations is defined in the Schedule 1 - Dictionary.

20. (20)
    having a pathological vaginal discharge at the time of the clinical worsening of chronic pruritus ani;

    Note: pathological vaginal discharge is defined in the Schedule 1 - Dictionary.

21. (21)
    having a dermatological disease from the specified list of dermatological diseases affecting the perianal or anal region at the time of the clinical worsening of chronic pruritus ani;

    Note: specified list of dermatological diseases is defined in the Schedule 1 - Dictionary.

22. (22)
    having a systemic disease from the specified list of systemic diseases at the time of the clinical worsening of chronic pruritus ani;

    Note: specified list of systemic diseases is defined in the Schedule 1 - Dictionary.

23. (23)
    undergoing a course of therapeutic radiation for cancer, where the perianal region was in the field of radiation, within the 30 days before the clinical worsening of chronic pruritus ani;
24. (24)
    having corticosteroid-related atrophy of the perianal skin at the time of the clinical worsening of chronic pruritus ani;
25. (25)
    inability to obtain appropriate clinical management for chronic pruritus ani;

Aggravation-only factors: the factors in subsections 9(13) to 9(25) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.