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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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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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.

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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.

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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.)