Creator’s advice
Neurodermatitis often starts with an itchy patch on the skin. What are the triggers? How is it treated?
Neurodermatitis is a condition also often called “lichen simplex chronicus“. It’s a condition that compromises your skin health. Though it isn’t contagious, it causes great discomfort for individuals who suffer from it.
To be more precise, it causes severe itching, which motivates the person to scratch continuously, thus causing skin damage and increasing itching and discomfort. In this fashion, the skin is broken, along with increased itching and discomfort. What are the causes? How is it treated? In the next article, we’ll share all the small print with you.
What’s neurodermatitis?
As stated by Mayo Clinic, neurodermatitis is a skin disease that manifests itself as an itchy spot. Since it causes the person to scratch continuously, the skin tends to dry out, in addition to change into thick and leathery.
Scratching increases the itching, which becomes a vicious circle. As well as, because it progresses, increasingly more spots appear everywhere in the body. Probably the most frequent locations are the neck, wrists, and ankles.
Research suggests that this condition tends to look in people under stress or emotional tension. Itching is a type of somatization of this stress.
When scratching, people affected by neurodermatitis feel a way of relief, which reduces a number of the emotional tension.
The indisputable fact that the skin becomes irritated makes scratching increasingly obligatory. Subsequently, it’s sometimes difficult to tell apart whether the cause in the primary instance was nervousness. This pathology is more common in adults than in children. Even so, it could be the consequence of a nervous tic, which may appear at any age.
What are its causes?
The precise reason behind neurodermatitis remains to be unknown. Nevertheless, as detailed in a publication in Acta Dermato-Venereologica, there are several risk aspects related to its appearance. Probably the most relevant is stress, as its prevalence is higher amongst individuals with stressful and competitive lifestyles.
It has also been identified more commonly in the next cases:
- People between 30 and 50 years of age
- Patients with a history of atopic dermatitis, allergic rhinitis, or asthma
- Women, with a ratio of two to 1 in comparison with men
- Asians
In some cases, there are triggering situations. For instance, an insect bite, wearing rough clothing, or having dry skin. It has also been related to chronic skin diseases, resembling psoriasis.
Foremost symptoms of neurodermatitis
Neurodermatitis is more common in adults. Itching often appears on the nape of the neck, wrists, ankles, or genitals. It could actually occur anywhere on the body.
The primary symptom is generally a number of itchy patches on the skin. Because the patient scratches, the skin takes on a more scaly or leathery texture. The itching could also be continuous or may appear at times of stress or at night.
There comes a time when many individuals scratch out of habit. This causes the patches to change into larger and bigger, darker in color than the remaining of the skin. Sometimes, wounds appear from the scratching itself.
Neurodermatitis can due to this fact result in serious complications. Most frequently the lesions leave everlasting scars. As well as, the injuries can change into infected. Similarly, the people often sleep poorly and their sex life is usually impaired.
How is it diagnosed?
The diagnosis of neurodermatitis might be complex. It’s easy to watch the lesions and determine if the skin has been injured by scratching. Nevertheless, it’s essential to rule out some other possible cause before determining this diagnosis.
Sometimes, it’s obligatory to do complementary tests or try different treatments. For instance, in some cases, skin biopsies are performed. This can be a test that consists of taking a small skin sample and analyzing it within the laboratory.
This might be used to ascertain if the true cause is psoriasis, because it’s a disease that may appear in the same way. It can also be useful to seek the advice of a psychologist, to attempt to make clear if there’s any underlying psychological disorder, resembling anxiety.
Treatments for neurodermatitis
The treatment of neurodermatitis is complex and includes many various options. The primary is to stop the person from scratching. To do that, different itch-relieving creams might be tried, resembling Adventan ® or Positon ®.
In some cases, it might be advisable to make use of oral antihistamines. It is because histamine is the substance most related to itching. As well as, a few of them produce drowsiness, which may improve these people’s sleep quality.
However, there are those that can profit from anxiolytic drugs, resembling benzodiazepines. These are drugs that help to cut back anxiety and in addition to rest higher. Nevertheless, they needs to be used with caution, as they’ve many negative effects. For instance, they’ll create dependency.
The reality is that one of the vital helpful facets of treating neurodermatitis is psychotherapy. Talking to a specialist might help reduce stress or can teach the patient prevent or avoid certain behaviors, resembling excessive scratching.
Remedies for neurodermatitis
Neurodermatitis might be improved or alleviated by numerous easy measures at home. As a way to try to stop scratching, it’s really useful to use cold, wet compresses to the skin for just a few minutes. Above all, it is best to do that before applying any ointment, because it improves its absorption.
It can also be useful to include a spoonful of oatmeal in such a compress. In response to a review shared in Indian Journal of Dermatology, Venereology and Leprology, this ingredient has antioxidant and anti inflammatory properties that help soothe itching, dermatitis, and rashes.
Other measures include the next:
- Cover probably the most affected areas to avoid scratching and complications of the lesion.
- Keep the skin clean and moisturized. Mild emollients resembling petroleum jelly are quite helpful.
- Don’t have hot showers, as they worsen dryness.
- Keep nails short and filed.
Neurodermatitis has a psychological component
Most cases of neurodermatitis occur in people who find themselves nervous or under stressful situations. It has been found that the lesions often come from nervous scratching, which might be prevented by controlling such anxiety.
It’s essential to attempt to avoid the triggers that produce it. Hence, the support of a psychologist is really useful to learn manage the emotions and behaviors related to scratching. Reinforcing skincare can also be essential.