Disease Neurodermatitis

Neurodermatitis is a chronic skin disease that begins with an itchy skin patch. Skin condition, also known as lichen simplex chronicus, if scratched will feel more itchy.

This skin disease is harmless and not infectious, but the itching can cause disruption of sleep hours, sexual function, and quality of life of the sufferer. The cause factor should be known, so that the patient can avoid and prevent neurodermatitis becomes more severe.

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Some of the common symptoms of neurodermatitis are:
  1. The appearance of skin spots that feel itchy and can amount to more than one.
  2. The skin that feels itchy will be coarse textured or scaly.
  3. Spots on the skin will look more prominent and red or darker than the surrounding skin.
The appearance of spots on the skin as well as the itching can occur on any part of the body, but generally neurodermatitis occurs in the arms, legs, back of the neck, scalp, wrists and legs, anus, and genital areas such as the scrotum skin (pelvic bag) and vulva (female genital lips).

The itchiness that appears can be very strong, coming and going, or continuously without stopping. Immediately contact your doctor if you scratch the same part over and over again, itching that appears to interfere with activity and bedtime, and the skin becomes painful and looks infected.

Causes and Risk Factors Neurodermatitis
The exact cause of neurodermatitis is still unknown until now, but it can occur in people with skin allergies, eczema, psoriasis, and emotional disorders.

Sometimes neurodermatitis can also appear due to something that rubs or irritates the skin. Insect bites and tight clothing sometimes trigger itching and getting carded will get itchy. This condition then develops into neurodermatitis. This disease is also commonly found in children's skin, especially when they can not stop scratching the itchy skin.

Some of the factors that increase a person's risk of developing neurodermatitis are as follows:
  • Anxiety disorders. Stress and anxiety can trigger an itch associated with neurodermatitis.
  • Age and gender. Women are more at risk of neurodermatitis, this condition also tends to appear in patients aged 30 to 50 years.
  • Other skin conditions, if any family member suffers from dermatitis, eczema, psoriasis or similar skin conditions, then the risk of developing neurodermatitis is greater.

Diagnosis of Neurodermatitis

Diagnosis is a doctor's step to identify a disease or condition that explains the symptoms and signs experienced by the patient. There are two procedures that doctors usually take to diagnose neurodermatitis:
  • Physical examination. The doctor will check the skin condition suspected of neurodermatitis.
  • Skin biopsy. The doctor will perform skin sampling to identify the cause of the itching in the patient.
Treatment of Neurodermatitis

Treatment in patients with neurodermatitis aims to control the itching, preventing patients to scratch, and handle the cause. Some steps of neurodermatitis treatment are:
  1. Anti-inflammatory cream. If over-the-counter corticosteroid cream is not effective in overcoming neurodermatitis, your doctor may prescribe this type of cream that has a stronger effect.
  2.  Botox injection (bottle toxin), allegedly able to reduce the itching and clean rough spots on the skin.
  3. Injectable corticosteroids. The doctor may inject corticosteroids directly on skin affected by neurodermatitis, this procedure is useful to help the healing process.
  4. A solution of aspirin and dichloromethane, applied to the skin affected by neurodermatitis.
  5. Anti-itching medicines, will be prescribed doctor to relieve symptoms of itching.
  6. Anti-anxiety medications, because anxiety and stress can trigger neurodermatitis.
There is also the treatment of neurodermatitis with Botox (Botulinum toxin) injection and a mixture of aspirin and dichloromethane, but this is not yet available.

While light therapy and psychotherapy have not been common in Indonesia as a neurodermatitis handler. Light therapy is more widely used in the field of beauty and psychotherapy is more given to people with psychological disorders.

There are several procedures you can do yourself at home to help relieve symptoms of neurodermatitis, namely:
  • Stop rubbing and scratching, as it can aggravate the skin condition.
  • Protect the skin with a bandage or clean cloth, to protect it and prevent the patient from scratching it.
  • Compress the skin with a cold cloth that is wet, so the itch can subside.
  • Use an anti-itching cream that is sold freely.
  • Cut your nails, nails that are cut short will prevent the skin is damaged more severe when scratched.
  • Bathe with warm water and moisturize the skin with lotions without fragrance.
  • Avoid triggers of neurodermatitis, such as anxiety, stress, and other types of fabric that trigger itching.