How to care for a thickened rash

  Regardless of what kind of skin disease, whether it is accompanied by itching, the thickening of the lesions after the fading is relatively slow, how to properly treat this situation?  1, first of all, the correct diagnosis There are differences in the treatment options for different diseases, such as psoriasis, eczema, lichen planus, sweat keratosis, lupus erythematosus, common warts ……, and the methods of treatment vary. Therefore, only under the premise of correct diagnosis can the correct drug be chosen. Otherwise, the result will only be the opposite if you open your eyes. Topical hormone is a good drug, applied to most skin diseases, can achieve good results in the short term, but there is a possibility that it only masks the symptoms and relieves the itching, and the condition recurs after discontinuing the use. Also it may cause the occurrence of misdiagnosis by masking the condition. Therefore, hormones are not a panacea, and abuse is not advocated.  2, correct care is important In clinical work, often encounter such a situation, through treatment, itching is reduced, but the lesions fade slowly, using a variety of means also did not achieve the purpose of gradually thinning or completely fade. Under careful questioning, it was found that most of these friends have the following problems: (1) the inability to control the desire to scratch. Although the definition of itching is to cause the urge to scratch. However, some patients still want to scratch after the itch is reduced. Most of them feel “awkward” looking at or touching the thickened lesions and hope to “thin” them by scratching and removing the flakes to achieve the purpose of elimination, not knowing that the more they scratch, the thicker they become; (2) Rubbing when bathing. The rash is impregnated with water and floats on the rash when you take a shower, so you want to rub it off to achieve a clean effect, which results in stimulating the rash and leads to the thickening of the lesions; (3) you want the medication to penetrate better. These patients believe that after rubbing off the flakes, the topical drug can penetrate and play a better therapeutic role, so they carefully rub the skin before applying the drug until there are no flakes before using the drug. The consequence is also to stimulate the skin lesions, resulting in the thickening of the lesions.  (4) There is the psychology of cleanliness. Once you find the flakes, you feel “too dirty” if you don’t rub them off, and you have to get them clean to be sure.  It is interesting to note that patients with these conditions are stubborn and have strong opinions. No matter how the doctor explains, persuade, can not correct its rubbing skin practice, so that the long time lesions can not subside.  3, the lower extremity of the skin lesions recede more slowly people are upright animals, because of gravity, the lower extremity of the blood flow back to the heart slower, especially suffering from varicose veins in the lower extremity or occupation, habit (such as salesmen, teachers, drivers, like to play cards for a long time, watch people playing cards, etc.), the venous reflux more effort, so the lower extremity of the skin lesions tend to recede more slowly. Therefore, if you want the rash of the lower extremities to subside quickly, you should elevate the lower extremities to promote blood return and improve the stasis of the lesions.  In conclusion, thickened lesions are slow to subside, both objectively and subjectively. Patience and confidence are needed, and subside can be achieved with the right treatment and proper care.