What can treat neurodermatitis?

Written by Xie Ming Feng
Dermatology
Updated on March 25, 2025
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The treatment of neurodermatitis generally includes three aspects. First, patients should be advised to avoid scratching, friction, and other irritations; psychological treatment should be given to break the vicious cycle of itch-scratch-itch. Second, topical medication application is the primary method, which may include the careful selection of steroid ointments, anti-itch ointments, or distillate ointments according to the location and characteristics of the rash. Local block therapy may also be necessary. Third, the treatment may involve oral medications such as antihistamines, calcium supplements, vitamins, etc.

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Written by Liu Gang
Dermatology
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Can laser treat neurodermatitis effectively?

Neurodermatitis is a type of allergic disease, mostly developed from dermatitis, eczema, or common allergic reactions. It is generally treated with oral and topical medications, which can control or cure the condition. There is generally no need for laser treatment. Although the skin of neurodermatitis may thicken and proliferate, and the treatment results may be slow, laser treatment can cause extensive damage to the epidermis, making it more difficult to heal later. It is essential to receive proper treatment in the dermatology department of a regular hospital for neurodermatitis. Instead of using laser, treatment can include oral and topical medications, along with options like red or blue light therapy or liquid nitrogen freezing. After recovery, it's important to regulate your diet and lifestyle habits, avoid staying up late, exercise appropriately, and not wash with hot water.

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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.

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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 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.

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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.