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Neurodermatitis
Do you need to take antiallergic drugs for neurodermatitis?
This question is answered by the contracted expert from Pure Health Cloud, Deputy Chief Physician Dawei from the Dermatology Department of the Affiliated Hospital of Hunan University of Chinese Medicine. Neurodermatitis can be treated with antiallergic medication. The scientific name for neurodermatitis is: Chronic Simplex Lichen. It is a type of: uh, commonly seen evaporative severe itching or skin elasticity strain characterized by chronic inflammatory dermatological condition of neural dysfunction. Its causes may be related to mental and neurological factors, gastrointestinal dysfunction, endocrine disorders, as well as privacy and local irritations, among other factors. Persistent scratching, uh, and chronic friction, may be triggers or exacerbating factors for its occurrence. Therefore, the key to its treatment is to avoid scratching and friction, and topical medications can be used for treatment. Um. For more stubborn cases, oral antiallergic medication can be taken. To ask experts for free, please search for Pure Health Cloud.
How to treat neurodermatitis
The treatment of neurodermatitis consists of three aspects. First, patients should be advised to avoid scratching, rubbing, and other irritations, and appropriate psychological treatment should be provided to interrupt the vicious cycle of itching and scratching. Second, the use of topical medications should be based on the location and characteristics of the rash. Hormonal ointments, anti-itch moisturizing ointments can be rationally selected, and occlusive treatments can be applied in severe cases. If the rash is widespread, treatments such as medicated baths and ultraviolet light exposure may be chosen. Thirdly, the treatment involves systemic medications, mainly including oral antihistamines, calcium supplements, vitamins, and so on.
What ointment to apply for neurodermatitis?
Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid skin changes. The characteristic skin lesions mainly consist of polygonal, flat papules that range in color from pale red, pale brown to normal skin tone. They are relatively hard and shiny with a small amount of scale on the surface. Over time, the lesions can merge into plaques, and the local skin becomes thickened and rough with lichen-like changes. Therefore, in clinical practice, various topical medications are rationally used based on the characteristics, types, and locations of these lesions. The common types of topical medications include glucocorticoid ointments, tar ointments, and moisturizing antipruritic ointments. Commonly used medications include hydrocortisone butyrate ointment, desonide ointment, mometasone furoate ointment, halometasone ointment, fluticasone propionate ointment, 10% black soybean distillate ointment, 5%-10% Konju butter or coal tar ointment, pine distillate ointment, urea vitamin E ointment, etc.
What can treat neurodermatitis?
The treatment of neurodermatitis generally includes three aspects. First, patients should be advised to avoid scratching, friction, and other irritations; psychological treatment should be given to break the vicious cycle of itch-scratch-itch. Second, topical medication application is the primary method, which may include the careful selection of steroid ointments, anti-itch ointments, or distillate ointments according to the location and characteristics of the rash. Local block therapy may also be necessary. Third, the treatment may involve oral medications such as antihistamines, calcium supplements, vitamins, etc.
Why get neurodermatitis?
The causes of neurodermatitis are not yet fully understood. It is generally believed to be related to several factors: 1. Neuro-psychiatric factors, such as irritability, anxiety, tension, sadness, fatigue, insomnia, etc.; 2. Local skin irritation, for example, friction from shirt collars, desks, contact with chemical substances, localized infections, sweat soak, localized sun exposure, etc.; 3. Dietary factors, such as drinking alcohol, consuming spicy foods, seafood, and other potential triggers; 4. Gastrointestinal dysfunction; 5. Endocrine disorders, and more. These reasons may contribute to the development of neurodermatitis.
Can neurodermatitis heal by itself?
The main characteristic of neurodermatitis is that the skin shows lichenoid changes and paroxysmal intense itching. During the course of the disease, it is easy to form a vicious cycle of itching, scratching, more itching, and more scratching, which further develops the disease. Therefore, neurodermatitis generally has a chronic course, is perennially incurable, or recurs frequently, and its chances of cure are extremely low.
The difference between neurodermatitis and tinea
Neurodermatitis and tinea are very different diseases; they are two completely distinct conditions. Tinea is caused by a fungal infection, whereas neurodermatitis is a neurological disorder and has no connection to fungal infections. Additionally, the clinical manifestations of these two diseases are also different. Neurodermatitis often occurs on the neck, elbows, face, and other areas, presenting as lichenoid changes and generally does not have obvious papules, whereas tinea typically shows clear papules.
How to treat recurrent neurodermatitis?
Neurodermatitis can recurrently occur and may be treated with anti-allergic medication under the guidance of a doctor. Common choices include loratadine tablets, levocetirizine tablets, desloratadine dispersible tablets, or ebastine capsules. Treatment may also involve Traditional Chinese Medicine (TCM) based on differential diagnosis or opt for proprietary Chinese medicines such as moisturizing and itch-relieving capsules, anti-itch granules, and dermatitis detox pills. If the rash is thickened and lichenified, topical application of compound fluocinonide cream or fluticasone propionate ointment can be used for treatment. Recurrent neurogenic enteritis, often related to staying up late, poor rest, excessive mental tension, and anxiety, necessitates maintaining regular hours and a relaxed mood, and avoiding scratching.
Symptoms of neurodermatitis
Neurodermatitis is a common skin disease characterized primarily by cracked or leather-like rashes, frequently occurring on the eyelids, neck, hands, and also on the trunk of the body. Patients often experience episodic itching, which can intensify and become more noticeable during periods of prolonged sleep deprivation, emotional instability, or high stress. Neurodermatitis can severely affect the quality of life and emotional well-being of patients, and it is crucial to seek timely treatment.
How to completely cure neurodermatitis?
Most cases of neurodermatitis cannot be completely cured, especially those with severe symptoms and thick localized skin lesions, and can only be managed by treatment to improve symptoms. Only some cases of neurodermatitis, where the lesions have just appeared and are relatively thin, can potentially be cured with medication. For mild localized symptoms, it is possible to use compound flumethasone ointment or urea ointment. If the symptoms are severe and the skin lesions are thick, it is advisable to seek treatment at a dermatology department of a regular hospital using cryotherapy with liquid nitrogen. Additionally, taking some traditional Chinese medicines that promote blood circulation and remove blood stasis orally, and applying potent steroids locally can also help improve symptoms. However, once the treatment stops, the condition may relapse. Therefore, it is crucial to treat neurodermatitis promptly upon detection and not wait until the condition worsens. (Use medication under the guidance of a doctor.)