How to treat neurodermatitis

Written by Xie Ming Feng
Dermatology
Updated on April 09, 2025
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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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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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Written by Xie Ming Feng
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Treatment methods for neurodermatitis

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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Written by Xie Ming Feng
Dermatology
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What does neurodermatitis look like?

Neurodermatitis is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin. Its early symptoms mainly manifest as flat papules the size of pinheads or grains of rice, with a small amount of coagulation on top. These generally are distributed over areas such as the neck, sacral region, elbows, knees, inner thighs, perineum, perianal region, and eyelids. Over time, the rashes may merge into large patches, and the affected skin becomes thickened and rough, accompanied by intense itching.

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Written by Xie Ming Feng
Dermatology
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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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Written by Huang Ling Juan
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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.