Neurodermatitis, also known as lichen simplex chronicus, is a skin condition characterized by chronic itching and scratching. It usually begins with an itchy patch of skin, which becomes more irritated the more it is scratched. This leads to a cycle of itching and scratching that can result in thickened, leathery patches of skin.
The exact cause of neurodermatitis is unknown, but it is thought to be related to chronic skin irritation or stress. Dr Kathed the Best Skin Specialist in Indore It can be triggered by insect bites, tight clothing, dry skin, or other skin conditions such as eczema or psoriasis. Emotional stress and anxiety are known to exacerbate the itching, leading to more frequent scratching and worsening of the condition.
Intense itching, particularly in specific areas such as the neck, wrist, forearm, thigh, or ankle.
Thickened, scaly patches of skin that may be red or darker than the surrounding skin.
Leathery texture of the affected areas due to prolonged scratching and rubbing.
Diagnosis is typically made based on the appearance of the skin and the patient’s history of itching and scratching. Dr. Atul Kathed, the best skin specialist in Indore, conducts a thorough examination and may perform a skin biopsy to rule out other conditions with similar symptoms.
For individuals dealing with neurodermatitis, consulting a dermatologist with expertise in managing skin conditions is crucial. Dr. Atul Kathed, known as the best skin specialist in Indore, provides comprehensive care tailored to each patient’s needs. His approach focuses on relieving symptoms, promoting skin healing, and preventing recurrence. If you are experiencing persistent itching and skin irritation, consider reaching out to Dr. Atul Kathed for expert evaluation and personalized treatment options
Lichen simplex chronicus
Intensely itchy skin that is usually itchiest when the person is resting or relaxing. Once the skin is scratched, a vicious itch-scratch-itch cycle develops. The more the skin is scratched, rubbed, or even touched, the more it itches. The itch can become so intense that it disrupts sleep. Develops on any area of the body the person can scratch or rub. Most commonly appears on the lower legs, ankles, back and sides of the neck, wrists, forearms, and genitals. Constant itch causes nervous tension (anxiety) in some patients. Often develops on skin previously affected by an outbreak of atopic dermatitis or contact dermatitis (two common types of eczema) or psoriasis.
Who Gets It?
Neurodermatitis develops more frequently in:
The following can irritate the nerves of susceptible people, triggering the intense itch-scratch-itch cycle of neurodermatitis:
How Is It Diagnosed?
Since neurodermatitis may occur along with other common skin conditions, such as other types of eczema and psoriasis, it is best to see a dermatologist for a diagnosis. Effective treatment requires that all skin conditions be accurately diagnosed.
Diagnosis of neurodermatitis involves:
A skin biopsy. Removing a bit of the affected skin so that it can be examined under a microscope may be necessary. This procedure helps diagnose a skin infection or another skin condition.
Patch testing. This test helps determine what substances cause an allergic reaction in the patient.
The goal of treatment is to stop the itch. What makes treatment so challenging is that the patient must quit scratching, rubbing, and even touching the affected skin. To help the patient and treat the eczema, a dermatologist may prescribe a:
TOPICAL CORTICOSTEROID.
A mainstay of treatment, this medication helps reduce inflammation and itch. It is important to apply all corticosteroids as directed to get the full benefit and reduce the risk of side effects.
TOPICAL ANTIBIOTIC.
When the skin is broken, this helps to prevent infection and to treat a mild infection. Oral antibiotic. This helps clear a skin infection.
TOPICAL KERATOLYTIC.
This helps reduce thick skin. A preparation containing urea, salicylic acid, or lactic acid may be used.
SEDATIVE OR TRANQUILLIZER.
In some cases, this can be helpful in reducing anxiety and help the patient to get restorative sleep.
Occlusion (wrapping the affected skin) may be used to increase the potency of medications and help the patient avoid scratching. In addition to applying medication as directed,dermatologists often recommend that patients:
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