How to treat recurrent neurodermatitis?

Written by Huang Ling Juan
Dermatology
Updated on March 04, 2025
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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 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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Foods to Avoid for Neurodermatitis

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid changes in the skin. It is a neurofunctional disorder. The causes of the disease may be related to neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, local skin irritation, diet, and other internal and external factors. Clinically, it is generally advised for patients to minimize alcohol consumption, reduce intake of spicy and hot foods, and avoid irritants such as shrimp, crab, and other seafood.

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Written by Xie Ming Feng
Dermatology
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Why get neurodermatitis?

The causes of neurodermatitis are not yet fully understood. It is generally believed to be related to several factors: 1. Neuro-psychiatric factors, such as irritability, anxiety, tension, sadness, fatigue, insomnia, etc.; 2. Local skin irritation, for example, friction from shirt collars, desks, contact with chemical substances, localized infections, sweat soak, localized sun exposure, etc.; 3. Dietary factors, such as drinking alcohol, consuming spicy foods, seafood, and other potential triggers; 4. Gastrointestinal dysfunction; 5. Endocrine disorders, and more. These reasons may contribute to the development of neurodermatitis.

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Written by Xie Ming Feng
Dermatology
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How to completely cure neurodermatitis?

The causes of neurodermatitis may be related to various factors such as neuropsychiatric factors, inappropriate diet, local irritation, gastrointestinal disturbances, and endocrine disorders. Furthermore, scratching and chronic friction may be the main triggers and aggravating factors. During the course of the disease, an itchy-scratch-itchy vicious cycle is prone to form. Therefore, in clinical practice, when treating neurodermatitis, in addition to applying topical medications and oral formulations, we emphasize the avoidance of scratching and other irritations. Providing patients with psychological therapy is essential to break the itchy-scratch-itchy vicious cycle, thus reducing the recurrence of neurodermatitis.

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Written by Xie Ming Feng
Dermatology
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What are the symptoms of neurodermatitis?

The symptoms of neurodermatitis primarily manifest as flat papules the size of pinpoints or rice grains on parts of the body such as the neck, sacral region, elbows, knees, inner thighs, perineum, and around the anus. The surface of these papules may have a small amount of scale and exhibit paroxysmal, intense itching. Due to this, a vicious cycle of itching and scratching can develop during the course of the disease, causing local skin lesions to merge into large patches. The skin becomes thicker and rougher, resembling lichenification, and shows episodes of severe itching.