Chronic liver disease is one of various disorders that can cause itching without a rash. Look into elevated serum histamine levels as a cause. While chronic liver&kidney disease can cause itching, I'd consider a high ammonia level to only be seen in advanced cases. I've not seen itching listed as a typical symptom of high ammonia levels. I usually refer these patients to dermatology for testing
Answered 9/14/2023
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