How to completely cure neurodermatitis?

Written by Liu Gang
Dermatology
Updated on January 14, 2025
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Most cases of neurodermatitis cannot be completely cured, especially those with severe symptoms and thick localized skin lesions, and can only be managed by treatment to improve symptoms. Only some cases of neurodermatitis, where the lesions have just appeared and are relatively thin, can potentially be cured with medication. For mild localized symptoms, it is possible to use compound flumethasone ointment or urea ointment. If the symptoms are severe and the skin lesions are thick, it is advisable to seek treatment at a dermatology department of a regular hospital using cryotherapy with liquid nitrogen. Additionally, taking some traditional Chinese medicines that promote blood circulation and remove blood stasis orally, and applying potent steroids locally can also help improve symptoms. However, once the treatment stops, the condition may relapse. Therefore, it is crucial to treat neurodermatitis promptly upon detection and not wait until the condition worsens. (Use medication under the guidance of a doctor.)

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Written by Xie Ming Feng
Dermatology
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How to treat neurodermatitis

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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Written by Xie Ming Feng
Dermatology
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What oral medicine is taken for neurodermatitis?

Neurodermatitis, also known as chronic simple lichen, is a common chronic inflammatory skin disease characterized by paroxysmal severe itching and lichenoid changes in the skin. Its causes may be related to various internal and external factors such as neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. Clinically, we often combine the application of topical medications with oral systemic medications. Commonly used oral medications include antihistamines, calcium supplements, vitamin C, and can also be combined with the use of glutathione vitamin B1, vitamin B12, and complex vitamin B, etc. If sleep is affected, sedative hypnotics can be added before bedtime, commonly including doxepin and diazepam. For extensive skin lesions, oral administration of Tripterygium wilfordii polyglycoside tablets can be combined.

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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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What should pregnant women do about 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, which is a dysfunction of cutaneous nerve function. The causes of this condition may be related to various internal and external factors including neuropsychiatric factors, gastrointestinal dysfunction, endocrine disorders, diet, and local skin irritation. What should pregnant women do if they suffer from neurodermatitis? First, they should visit a hospital; second, under the guidance of a doctor, they should choose the appropriate type of medication based on the characteristics, location, and type of skin lesions; third, it is important to avoid friction, scratching, maintain a pleasant and relaxed mood, wear soft cotton clothing, and avoid irritants.