What to do about neurodermatitis during lactation?

Written by Xie Ming Feng
Dermatology
Updated on September 15, 2024
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Neurodermatitis is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin. If neurodermatitis occurs during breastfeeding, we should go to the hospital. Firstly, avoid scratching, friction, and other irritations, maintain a peaceful mindset, wear cotton clothing, and reduce localized stimulations. Diet-wise, intake of alcohol should be reduced, as well as spicy and irritating foods, and one should avoid eating shellfish, seafood, and other potentially aggravating foods. Secondly, appropriate topical medications should be used, such as moisturizing anti-itch ointments and traditional Chinese medicine ointments, and the use of corticosteroid ointments should be minimized. Thirdly, try not to take oral medications.

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Written by Xie Ming Feng
Dermatology
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Does neurodermatitis affect pregnancy?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory dermatoneurosis characterized by paroxysmal severe itching and lichenoid changes in the skin. The cause of the disease may be related to various internal and external factors such as neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. Women with neurodermatitis can become pregnant, but the severe itching associated with neurodermatitis can lead to adverse reactions in the mental and sleep states of pregnant women, so it is recommended that pregnant women with neurodermatitis should seek active treatment.

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Written by Huang Ling Juan
Dermatology
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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.

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Written by Xie Ming Feng
Dermatology
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Can neurodermatitis turn into cancer?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid skin changes. It is a neurofunctional dermatosis, and its causes may be related to various internal and external factors, including neuropsychiatric factors, diet, gastrointestinal dysfunction, endocrine disorders, and local skin irritation. Currently, there are no clinical reports of neurodermatitis transforming into cancer, so it generally does not become cancerous.

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Written by Liu Gang
Dermatology
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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.)

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Written by Xie Ming Feng
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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.