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Neurodermatitis
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.)
What oral medicine is taken for neurodermatitis?
Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin. Its causes may be related to various internal and external factors such as neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. Clinically, we often combine the application of topical medications with oral systemic medications. Commonly used oral medications include antihistamines, calcium supplements, vitamin C, and can also be combined with the use of glutathione vitamin B1, vitamin B12, and complex vitamin B, etc. If sleep is affected, sedative hypnotics can be added before bedtime, commonly including doxepin and diazepam. For extensive skin lesions, oral administration of Tripterygium wilfordii polyglycoside tablets can be combined.
What are the symptoms of neurodermatitis?
The symptoms of neurodermatitis primarily manifest as flat papules the size of pinpoints or rice grains on parts of the body such as the neck, sacral region, elbows, knees, inner thighs, perineum, and around the anus. The surface of these papules may have a small amount of scale and exhibit paroxysmal, intense itching. Due to this, a vicious cycle of itching and scratching can develop during the course of the disease, causing local skin lesions to merge into large patches. The skin becomes thicker and rougher, resembling lichenification, and shows episodes of severe itching.
Which vitamin B should be taken for neurodermatitis?
Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic intense itching and lichenoid changes in the skin due to neurofunctional impairment. The etiology could be related to various factors including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local irritation. In clinical treatment of neurodermatitis, we use topical medications along with oral systemic drugs. Commonly prescribed oral medications include antihistamines and calcium supplements. Additionally, various vitamins such as vitamin C, vitamin B1, vitamin B12, and complex vitamin B are also commonly used in combination.
What trace element is lacking in neurodermatitis?
Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease marked by periodic severe itching and lichen-like changes in the skin due to neurological dysfunction. The exact causes of neurodermatitis are still unclear. It is not merely related to deficiencies in certain trace elements. It is generally considered to be related to an imbalance in the excitatory and inhibitory functions of the cerebral cortex, possibly linked to mental stress such as impatience, excessive contemplation, depression, fatigue, and insomnia. Some patients' conditions may be associated with gastrointestinal dysfunction, endocrine disruption, an unbalanced diet including excessive alcohol consumption, intake of spicy foods, shellfish, etc., as well as local irritants like rigid collars, wool plants, chemicals, and scratching. All these internal and external factors play a role. The treatment of neurodermatitis mainly focuses on avoiding various irritants such as scratching and friction. Psychological therapies also assist by breaking the vicious cycle of scratching and itching. The primary treatment approach involves topical medications, supplemented by traditional Chinese medicine. Systemic medications might include antihistamines for itching relief, along with supplements like calcium, vitamin C, thiamine, and various B vitamins, all of which aid in recovery.
Can neurodermatitis be completely cured?
The onset factors of neurodermatitis may be related to various factors such as neuropsychiatric factors, diet, local skin irritation, gastrointestinal dysfunction, and endocrine disorders. It tends to form a vicious cycle of itching, scratching, and more itching during the onset process. Therefore, the characteristic of this disease is that it progresses slowly, persists for a long time without healing or recurs repeatedly. Thus, neurodermic dermatitis can be cured, but it may also relapse.
How to treat neurodermatitis
Neurodermatitis, also known as simple lichen, commonly occurs on the eyelids, elbows, neck, and sacral areas. It exhibits recurrent symptoms such as skin lesions and itching. It is necessary to enhance skin moisturization, avoid excessive irritants such as friction, and provide anti-inflammatory symptomatic treatment. Oral medications such as levocetirizine tablets, moisturizing and anti-itching capsules, compound glycyrrhizin tablets, Guweisupian tablets, or Duluoping tablets, along with topical application of tacrolimus ointment, or early use of potent steroids such as halometasone cream or betamethasone valerate cream, can control the symptoms of skin lesions. However, steroid creams should not be used for prolonged periods as they can cause side effects including skin atrophy and hypertrichosis.