What to do about neurodermatitis during lactation?

Written by Xie Ming Feng
Dermatology
Updated on September 15, 2024
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Neurodermatitis is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin. If neurodermatitis occurs during breastfeeding, we should go to the hospital. Firstly, avoid scratching, friction, and other irritations, maintain a peaceful mindset, wear cotton clothing, and reduce localized stimulations. Diet-wise, intake of alcohol should be reduced, as well as spicy and irritating foods, and one should avoid eating shellfish, seafood, and other potentially aggravating foods. Secondly, appropriate topical medications should be used, such as moisturizing anti-itch ointments and traditional Chinese medicine ointments, and the use of corticosteroid ointments should be minimized. Thirdly, try not to take oral medications.

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Written by Xie Ming Feng
Dermatology
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What ointment to apply for neurodermatitis?

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 is the body lacking in neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid skin changes due to nervous dysfunction. The causes of the disease may be related to neuropsychiatric factors such as irritability, overthinking, tension, depression, fatigue, and poor sleep. It is also associated with gastrointestinal dysfunction and endocrine disorders. Additionally, local skin irritations such as friction from stiff collars, exposure to chemicals, infection sites, soaking in sweat, and sun exposure are related, as well as diet, including alcohol consumption, and the avoidance of spicy or stimulating foods like chili peppers, and allergenic foods such as crabs and other seafood. These factors can all contribute to the development of neurodermatitis, which is not related to any deficiency in the body.

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Written by Xie Ming Feng
Dermatology
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Can people with neurodermatitis eat beef?

Neurodermatitis, also known as chronic simple lichen, is a common type of chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin due to neurofunctional dysfunction. Its causes may be related to various internal and external factors such as neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, local skin irritation, and diet. After developing neurodermatitis, it is recommended that patients minimize alcohol consumption and intake of spicy, stimulating foods, seafood such as fish, shrimp, and crab, and meats like beef, lamb, and dog meat.

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Written by Xie Ming Feng
Dermatology
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Which vitamin B should be taken for neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic intense itching and lichenoid changes in the skin due to neurofunctional impairment. The etiology could be related to various factors including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local irritation. In clinical treatment of neurodermatitis, we use topical medications along with oral systemic drugs. Commonly prescribed oral medications include antihistamines and calcium supplements. Additionally, various vitamins such as vitamin C, vitamin B1, vitamin B12, and complex vitamin B are also commonly used in combination.

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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.