DEFINITION of 'Flexible Expense'. An expense that is easily altered or avoided by the person bearing the cost. Flexible expenses are costs that may be manipulated in amount or eliminated by not engaging in the activity that incurred the expense.
Abstract. 1  Chronic pruritus, one of the main symptoms in dermatology, is often intractable and has a high impact on patient's quality of life. 2  Pruritus (syn.: itch) is an unpleasant sensory perception which causes an intense desire to scratch and which has a high impact on the quality of life.
The initial clinical approach in patients with pruritus includes a history and physical examination to determine if the pruritus is caused by a dermatologic condition or is secondary to an underlying systemic disease.he conditions that can lead to pruritus are extensive. Distinguishing between pruritus with a specific dermatologic cause and pruritus that is a manifestation of a systemic disease can facilitate efficient diagnosis and treatment, leading to a rapid resolution of symptoms for most patients.