Neurodermatitis, nodular itchy rash, itchy rash and skin amyloidosis
Q: How do you get neurodermatitis?
A: Neurodermatitis is associated with psychogenic or psychiatric factors! and has nothing to do with allergies. Bad mood, excessive work stress, anxiety, lack of sleep, insomnia, etc. can all be triggers for the onset of the disease. The main symptom of neurodermatitis is itchiness! The disease is mainly three links: itching, scratching and thick! Because you can’t help itching, you scratch, but often the more you scratch, the more itchy, repeated scratching thickens the skin, resulting in a vicious circle: the more itchy, the more scratching, the thicker, the more itchy! This makes the skin become hypertrophic patches, professionally known as “mossy lesions”. Therefore, the disease occurs in areas that can be easily scratched by hands, such as the neck, elbow extension, front of the calf, lumbosacral area, etc. Li Qi, Department of Dermatology, The First People’s Hospital of Kunming
Q: How should neurodermatitis be treated?
A: Since the onset of neurodermatitis is mainly related to psychoneurological factors. Therefore, first of all, you should adjust your mood and have a good state of mind! Optimistic and open-minded! The key to treatment is to stop itching and avoid scratching! When itchy, try not to scratch, you can pat the itchy part with your hand to produce some pain to relieve the itch; to improve your tolerance to itch, try to restrain the desire to scratch! When itchy, you can use topical anti-itch medication, such as glyburide lotion, camphor water or camphor cream, capsaicin ointment, various corticosteroid creams or drops, etc. The topical medications I often recommend are Mansellaton Thin He cream and Wuji cream. You can also put a hard cream of skin disease on the lesions, remove it after three days, and then apply topical medication. In this way, the cream is applied three days a week and the topical medication is applied four days. This is a good way to get rid of your neurodermatitis.
Q: The skin disease is a hard cream containing the hormone tretinoin, and the hormone clobetasol propionate is contained in Wuji cream, so the topical application 7 days a week, will not occur skin atrophy?
A: Good question! Let’s analyze it in detail: skin disease nourishment contains not less than 16 micrograms of tretinoin per square centimeter of rubber cream, and the commonly used over-the-counter tretinoin ointment is 1 mg of tretinoin per gram, that is, 1000 micrograms! The concentration of beclomethasone propionate in Wuji cream is 0.01%, while the concentration of commonly used beclomethasone propionate ointment is 0.025%. That means the hormone content in Wuji Cream is very low! In fact, the content of camphor in Wuji cream is 5.6% and the content of menthol is 3.5%, these two are the main drugs of Wuji cream to relieve itching!
Neurodermatitis is caused by prolonged scratching which thickens the skin significantly, and the aim of treatment is to thin the lesions and return them to their normal state! In fact, the main purpose of skin disease Ning is to use its sealing effect, so that patients can not scratch the lesions! In fact, the main purpose of skin disease nourishment is to use its sealing effect so that the patient can’t scratch the lesions! Most patients can be significantly better or cured within a month or two without long-term use!
Q: Can neurodermatitis be cured? I have used many drugs, including hormonal ointments, but it will not take long to recur, is there any good solution?
A: The key to neurodermatitis is to control your own hands and not scratch when itching. You can insist on not scratching for half a year, the rash can naturally subside! A variety of anti-itch medicine can be, not necessarily with the content of hormone cream. I often recommend the topical use of Mansellaton peppermint cream (the drug does not contain hormones), Wuji cream (the drug contains hormones) and so on. A good mood is also very important! Live a regular life and get enough sleep!
If you do not sleep well at night, you can take a Doxepin tablet before going to bed. Doxepin, a drug that has a hypnotic effect, can also stop itching, two in one! Because of its hypnotic and sedative effect, it is generally taken only before bedtime. You must not drive after taking the medicine!
Q: The itching around the anus and vulva is unbearable and affects my sleep at night, what can I do to stop itching?
A: Itching around the anus can be Inoceramus 10 grams, bitter ginseng 20 grams boiled and soaked, then topical black bean distillation oil ointment or clove basil cream! Take a piece of Doxepin before going to bed.
Q: got neurodermatitis, asked the Chinese doctor to prescribe medicine: bitter ginseng 10g Mitragynine 10g alum 10g ice chips 10g one-headed garlic 10g pepper 12g vinegar 500g soaked for 10 days and then used externally, but now the scope is greater, and the pain is unbearable, is it the problem of medicine?
A: This is a kind of “evil treatment”! Mitochondria contains lead, one-headed garlic, pepper, etc., which will have a strong irritating effect on the skin. For neurodermatitis, there are folk who use this trick! The problem is that the dosage of drugs should be well measured and the method of medication should be clearly explained! Otherwise, there will be pain, rash expansion, even blistering and other irritating dermatitis reactions. After the reaction, neurodermatitis may get better! There are many effective treatments for neurodermatitis, there is no need to “treat it badly”, and I do not advocate “treating it badly”!
Q: Neurodermatitis of the buttocks for many years. Recently, I used the remedy garlic pounded on the affected area, and although it hurt, the skin tended to be normal after 2 times of obvious relief. I took advantage of the heat and put garlic on the affected area again, but it swelled up, and there were many blisters, and it hurt a lot! It is really painful to ask for your help!
A: Using garlic mashed on the affected area is a folk “evil treatment” method, which may be effective for chronic hypertrophic dermatitis. You have already used it 2 times, the lesions have become significantly thinner, and then the skin can not stand it and irritating dermatitis occurs. At present, you can use cold water on the affected area and topical application of 40% zinc oxide oil.
Q: How is itchy nodular rash treated?
A: The occurrence of itchy nodular rash is related to psychoneurological factors. While treating the skin disease, it is important to maintain a good, positive and optimistic state of mind. Some patients are often accompanied by anxiety, irritability and other psychological problems. Sometimes it is necessary to take antidepressants such as doxepin, sedative and sleeping drugs at the same time. In short, skin manifestations are only a symptom, not only to treat the surface, but also to treat the root cause! Itchy nodules can be treated in the same way as neurodermatitis. The key is to control your own hands and try not to scratch!
Q: The hospital diagnosed itchy rash, taking methylprednisolone tablets, cyproheptadine hydrochloride tablets, and topical miconazole ointment, the rash improved significantly and the itch was reduced. However, once the methylprednisolone tablets were stopped, the rash became red and itchy again. Can I take methylprednisolone tablets for a long time?
A: Itchy rash is a benign skin condition. Methylprednisolone is a glucocorticoid tablet. Long-term use can have adverse effects, such as easy infection, occurrence of high blood pressure, diabetes, osteoporosis, etc. Therefore, to take hormones, one must weigh the pros and cons and apply if the pros outweigh the cons. If the disadvantages outweigh the benefits, think twice before taking them.
Q: Is there a good treatment for cutaneous amyloidosis?
A: There is no good treatment for cutaneous amyloidosis! The disease is not usually self-induced and is mostly found in covered areas such as the back. Cutaneous amyloidosis can occur secondary to prolonged scratching due to neurodermatitis and is commonly seen in the front of the lower legs. In such cases, avoiding scratching is the key. It is important to improve the patient’s tolerance to itch and try not to scratch when itchy. Various anti-itch medications can be applied, including internal and external ones! Phototherapy can also be done.