Treatment methods for neurodermatitis

Written by Xie Ming Feng
Dermatology
Updated on May 22, 2025
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The treatment of neurodermatitis includes three aspects. The first aspect is instructing patients to avoid various stimuli such as scratching and rubbing and providing certain psychological treatments to break the vicious cycle of itching and scratching. The second aspect involves the use of topical medications. Depending on the characteristics and location of the rash, appropriate use of steroid ointments and anti-itch moisturizing creams is advised, and occlusive treatment methods may be employed in severe cases. If the rash covers a large area or is widespread, options like ultraviolet light exposure, medicinal baths, or mineral baths can be considered. The third aspect is the treatment with systemic medications, which may include oral antihistamines, calcium supplements, vitamin C, and so on.

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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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How to treat neurodermatitis

The treatment of neurodermatitis consists of three aspects. First, patients should be advised to avoid scratching, rubbing, and other irritations, and appropriate psychological treatment should be provided to interrupt the vicious cycle of itching and scratching. Second, the use of topical medications should be based on the location and characteristics of the rash. Hormonal ointments, anti-itch moisturizing ointments can be rationally selected, and occlusive treatments can be applied in severe cases. If the rash is widespread, treatments such as medicated baths and ultraviolet light exposure may be chosen. Thirdly, the treatment involves systemic medications, mainly including oral antihistamines, calcium supplements, vitamins, and so on.

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Is neurodermatitis a fungus?

Neurodermatitis is a common chronic inflammatory skin disease characterized by episodic intense itching and lichenoid changes in the skin. The main causes are likely related to neuropsychiatric factors, diet, local skin irritation, gastrointestinal dysfunction, endocrine disorders, and many other factors. It has no relationship with fungi. If the skin is infected by fungi, common diseases include tinea capitis, tinea pedis, tinea unguium, tinea cruris, tinea corporis, and so on.

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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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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.