What does neurodermatitis look like?

Written by Xie Ming Feng
Dermatology
Updated on December 02, 2024
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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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What should I do about neurodermatitis on the face?

Neurodermatitis, also called chronic simple lichen, is a common chronic inflammatory skin disease characterized by episodic severe itching and lichenoid skin changes. Its causes may be related to numerous internal and external factors, including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. It frequently occurs in the neck, elbows, knees, sacral region, inner thighs, perineum, and around the anus. What should be done if neurodermatitis occurs on the face? First, it is crucial to avoid irritations such as scratching and rubbing as much as possible, understanding that scratching is a primary cause and aggravating factor. Second, it is advisable to choose milder topical medications for treatment, such as moisturizing and anti-itch ointments, herbal ointments, and tar-based ointments, while minimizing the use of corticosteroid ointments. Third, if the condition is severe, oral antihistamines and calcium supplements can be considered.

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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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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 Xie Ming Feng
Dermatology
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Does garlic treat neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disorder characterized by episodic intense itching and lichenification. The causes may be related to various internal and external factors, including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local irritation. Clinically, treatment involves the careful selection of topical medications based on the characteristics, location, and type of skin lesions. Common topical medications include corticosteroid ointments, tar ointments, and moisturizing anti-itch ointments. Folk remedies often use garlic to treat neurodermatitis. In traditional Chinese medicine, garlic is known for its insecticidal and itch-relieving properties, but it is quite irritating. Intense irritation on the skin can cause redness, blisters, swelling, and itching, leading to allergic dermatitis. Therefore, it is not recommended to use garlic for treating neurodermatitis.

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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.