What ointment to apply for neurodermatitis?

Written by Xie Ming Feng
Dermatology
Updated on April 02, 2025
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Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid skin changes. The characteristic skin lesions mainly consist of polygonal, flat papules that range in color from pale red, pale brown to normal skin tone. They are relatively hard and shiny with a small amount of scale on the surface. Over time, the lesions can merge into plaques, and the local skin becomes thickened and rough with lichen-like changes. Therefore, in clinical practice, various topical medications are rationally used based on the characteristics, types, and locations of these lesions. The common types of topical medications include glucocorticoid ointments, tar ointments, and moisturizing antipruritic ointments. Commonly used medications include hydrocortisone butyrate ointment, desonide ointment, mometasone furoate ointment, halometasone ointment, fluticasone propionate ointment, 10% black soybean distillate ointment, 5%-10% Konju butter or coal tar ointment, pine distillate ointment, urea vitamin E ointment, etc.

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Written by Xie Ming Feng
Dermatology
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What foods should be avoided with neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common skin disorder characterized by episodic intense itching and lichenoid skin changes. It is a chronic inflammatory dermatoneurosis. The causes of neurodermatitis may be related to a variety of internal and external factors including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local irritation. After being diagnosed with neurodermatitis, it is generally recommended that patients minimize alcohol consumption and reduce intake of spicy, pungent foods, as well as shrimp, crab, and other potentially aggravating seafood.

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Written by Xie Ming Feng
Dermatology
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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.

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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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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 eggs?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disorder characterized by episodic intense itching and lichenified skin. The causes of this disorder may be related to various internal and external factors, including neuropsychiatric factors, endocrine disturbances, gastrointestinal dysfunction, diet, and local skin irritants. If you are not allergic to eggs, you can generally eat eggs with neurodermatitis. However, you should consume less alcohol and avoid spicy, hot foods, and foods that may trigger allergic reactions such as shrimp, crab, and other seafood.