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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Where to apply moxibustion for neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic intense itching and lichenoid skin changes due to a neuro-functional disorder. Clinically, it is divided into localized and disseminated types, presenting chronic relapses and prone to recurring, prolonging healing. Clinically, patients often seek help from traditional Chinese medicine after ineffective treatments with Western medicine and drugs. In addition to oral Chinese medicine and topical herbal ointments, acupuncture is also used in treatment. Common acupuncture points used include Quchi, Zusanli, Fengchi, Fengmen, Feishu, and Baichongwo, among others. Additional points may be selected based on the patient's specific symptoms. Various moxibustion techniques can be employed such as mild moxibustion, garlic-separated moxibustion, and ginger-separated moxibustion.

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Dermatology
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What medicine is used for neurodermatitis of the eyelid?

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, which are symptoms of a dysfunctional neurogenic disorder. The causes of the disease may be related to various internal and external factors such as neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, local foreign body irritation, diet, etc. For neurodermatitis occurring on the eyelids, our first advice to patients is to avoid scratching and rubbing as much as possible, as these actions are major triggers or aggravating factors; secondly, use mild, minimally irritating topical medications such as moisturizing and anti-itch drugs, tar-based medications, and herbal ointments. It’s recommended to use corticosteroid creams sparingly or not at all. When applying medication, use them thinly and sparingly to minimize absorption due to the thin and highly vascular nature of the eyelid skin. In severe cases, oral antihistamines and calcium supplements can be used in combination.

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Written by Xie Ming Feng
Dermatology
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Can people with neurodermatitis eat fish?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory dermatosis characterized by episodic severe itching and lichenoid changes in the skin. The cause of this condition may be related to various internal and external factors including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, local skin irritation, and diet. Therefore, we generally advise patients with neurodermatitis to minimize alcohol consumption, avoid spicy and hot foods, and restrict intake of fish, shrimp, crab, and other seafood that may exacerbate the condition.

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Written by Xie Ming Feng
Dermatology
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What vitamins should be taken for neurodermatitis?

The clinical characteristics of neurodermatitis primarily include lichenoid changes on the skin and episodic severe itching. Therefore, clinically, we generally administer oral antihistamines and calcium supplements. However, since the etiology might be related to neuropsychiatric factors, we often also combine these with oral vitamin B1, vitamin B12, complex B vitamins, vitamin C, and glutathione, among others.

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Written by Xie Ming Feng
Dermatology
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What to do about neurodermatitis during lactation?

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.