What should I do about neurodermatitis on the face?

Written by Xie Ming Feng
Dermatology
Updated on September 02, 2024
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Neurodermatitis, also called chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid skin changes. Its causes may be related to numerous internal and external factors, including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. It frequently occurs in the neck, elbows, knees, sacral region, inner thighs, perineum, and around the anus. What should be done if neurodermatitis occurs on the face? First, it is crucial to avoid irritations such as scratching and rubbing as much as possible, understanding that scratching is a primary cause and aggravating factor. Second, it is advisable to choose milder topical medications for treatment, such as moisturizing and anti-itch ointments, herbal ointments, and tar-based ointments, while minimizing the use of corticosteroid ointments. Third, if the condition is severe, oral antihistamines and calcium supplements can be considered.

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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
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 Xie Ming Feng
Dermatology
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Symptoms of scrotal neurodermatitis

Neurodermatitis is a common chronic inflammatory disease characterized by episodic severe itching and lichenoid skin changes, frequently seen in young and middle-aged adults. It often occurs in areas such as the neck, lateral sides of both elbows, sacral region, thighs, perineum, and around the anus. When it affects the scrotal area, its base layer can appear as pinpoint or rice-grain-sized polygonal flat papules, in light red, light brown, or normal skin color, generally firm and shiny. The surface may have small amounts of scale. Due to repeated scratching and rubbing, the lesions can gradually merge into large patches, and the local skin becomes thickened and rough, forming lichenoid changes accompanied by severe itching.

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Written by Liu Gang
Dermatology
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Can laser treat neurodermatitis effectively?

Neurodermatitis is a type of allergic disease, mostly developed from dermatitis, eczema, or common allergic reactions. It is generally treated with oral and topical medications, which can control or cure the condition. There is generally no need for laser treatment. Although the skin of neurodermatitis may thicken and proliferate, and the treatment results may be slow, laser treatment can cause extensive damage to the epidermis, making it more difficult to heal later. It is essential to receive proper treatment in the dermatology department of a regular hospital for neurodermatitis. Instead of using laser, treatment can include oral and topical medications, along with options like red or blue light therapy or liquid nitrogen freezing. After recovery, it's important to regulate your diet and lifestyle habits, avoid staying up late, exercise appropriately, and not wash with hot water.

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Written by Xie Ming Feng
Dermatology
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Early symptoms of neurodermatitis

The early symptoms of neurodermatitis primarily manifest as small, flat polygonal papules the size of pinpoints or rice grains on the skin of the neck, sacral area, elbows, inner thighs, perineum, and around the anus. These can appear red, light red, or light brown and are relatively hard in texture. The surface may have a small amount of coagulated blood. Due to episodic severe itching, a vicious cycle of itching, scratching, more itching, and more scratching occurs during the course of the disease, which can lead to the merging of rashes into large patches.