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Neurodermatitis also is known as lichen simplex chronicus is a skin consideration that starts due to repeated scratching and scratch of the skin . The mechanical trauma have by repeated scratching the expanse lead to lichenification , thickening , and scale of the pelt . Approximately 12 % of the adult world-wide population is affected by neurodermatitis . It is more commonly notice in females than in male . Lichen nuchae is a course of neurodermatitis that is see on the mid - later nucha of the neck , which is only regain in female person . somebody aged 30 - 50 years are more normally regard with neurodermatitis.(1 )
What Are The Ways To Prevent Neurodermatitis?
The first and frontmost room to forbid neurodermatitis is to stop and avoid the urge to itch or rub the affected field . It is also significant to take anti - itch medical specialty as directed by the MD . As tenseness and anxiety can cause neurodermatitis flares , it is significant to stay calm and relaxed . If the scabies starts to come along , then one can use a cold compress or take a cold shower to reduce the heat and reduce the itch . Colloidal oatmeal addition to a dusty bath can help in reducing the itch . The optimal temperature should be maintained as a hot and humid clime can exasperate pruritus . plastered clothing can rub against the skin and irritate the skin , produce the cutis prone to itchiness ; therefore , it is best to avoid tight wearing apparel and to fall apart loose and comfortable wearing apparel . All the allergen should be avoid that might trigger pruritus . Keeping fingernails poor and snip also reduce unnecessary harm to the affected pelt . Since neurodermatitis is a continuing shape , it can be hard to stop the urge to spoil ; therefore , the affected sphere can be covered with charge card , clothing , corticosteroid tape , or gauze plume to foreclose scratch . This method is in particular helpful to forfend call off while sleeping.(2 )
Does Neurodermatitis Recur?
The dubiousness whether neurodermatitis recurs or not depend totally on the patient resolve to avoid and discontinue excise and patients who do not comply with the operating instructions of a doctor are more potential to have a return of neurodermatitis . Extreme red-hot temperature , humidity , stress , and exposure to the previous allergen also take to the recurrence of neurodermatitis . Therefore , while keep all the precautions , i.e. hot temperature , humid environs , stress and exposure to the allergen is of import to avoid return . It is also crucial to talk about various ways to interchange habitual scratching of the affected arena to keep return of neurodermatitis.(1 )
Neurodermatitis is mostly found in area that are accessible to scratching and rubbing . Although scratching is aggravated by pruritus , the underlying pathophysiology of neurodermatitis is still obscure . Neurodermatitis is ordinarily seen in individuals with atopic dermatitis and atopic diathesis . It is also closely related to to psychiatrical precondition such as anxiety , depression , and obsessional - compulsive disorderliness . Other possible reasons for neurodermatitis are dirt ball bites , traumatic scars , post - herpes zoster , xerosis , acne keloidalis nuchae , venous insufficiency , and asteatotic eczema.(1 )
Treatment Of Neurodermatitis
The main object glass of the treatment of neurodermatitis is to reduce or minimize the existing lesion . The position , extent , and morphology of the lesion also play a significant role in the direction of neurodermatitis . presently , the treatment of option is topical steroids as they work on quash the ignition and pruritus along with softening hyperkeratosis . low-pitched potency topical steroids are used for thin tegument area such as vulva , face , scrotum , and axillary cavity ; whereas , mid - potency steroid is used for the treatment of large and active lesion . High potentiality topical sex hormone are used for areas where the skin is fatheaded . For the wound that are recalcitrant , Intralesional corticosteroid injections are given . The patient with anxiousness may be given anti - anxiety drug ( doxepin , clonazepam ) and antihistamine ( diphenhydramine , hydroxyzine hydrochloride ) may also be given to allay itch and mild inflammation . Antibiotics are given for infected lesions . patient who are not antiphonal to topical corticosteroids can be given topical tacrolimus , while disseminated lesions involve to be treated with systemic medication and full dead body phototherapy.(1 )
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