NEURODERMATITIS: DIAGNOSIS AND TREATMENT
How is neurodermatitis diagnosed by dermatologists?
The itchy area will be examined by a dermatologist London, searching for neurodermatitis signs. You should not be worried when you let the area to be examined by a dermatologist. It is understood by dermatologists London that the development of neurodermatitis can be on the anus or genitals.
Some questions might also be asked by your dermatologist, like:
- What measures are you taking to stop the itch?
- Is the itch always there, or it just comes and go?
- When did the itch start?
If the infection is seen in the areas, it will be swabbed by your dermatologist. Your dermatologist Harley Street London will find out if you have the infection when they test the sample on the swab.
Some small size of the skin may be required to be removed for your dermatologist to diagnose you.
Some test might also be run by your dermatologist to discover if the itchy reaction could be caused by an allergic reaction. This can mainly be necessary anytime the neurodermatitis is seen in the genitals of the female.
Why go to a dermatologist?
Skin conditions such as psoriasis or eczema can develop alongside neurodermatitis, so it’s the best thing to go for diagnosis by a skin doctor. Effective treatment needs a precise diagnosis of every skin condition you have. The dermatologists at ClearSkin London are here to help you, click here to contact us now.
How is neurodermatitis treated?
A treatment plan will be created by your dermatologist London determined by your needs. Several treatments are available.
A neurodermatitis treatment plan mostly includes treatment, which can:
- Stop the itch: the main aim of the treatment is this; because you must stop rubbing, touching the itchy patch, and scratching for an effective treatment. To make the itch stop, part of the following will likely be included in your treatment plan by your dermatologist:
- Corticosteroid: You normally apply the medicine to the region as directed. A dermatologist will sometime inject the medication directly to the area that is itching you. A corticosteroid assists in reducing the swelling, tenderness, itch, heat, and tenderness. The skin can also often be thickened by it.
- Cold compress: When you soak the area or apply a cold compress for five minutes before applying a corticosteroid, it can assist in making the medicine easily penetrate the thick skin — and also make the itchiness reduce.
- Antihistamine: This can help you sleep and also relieve the itch.
- Moisturiser: This reduces dryness; this can also reduce the itch.
- Coal tar preparation: Yiu will likely add this substance to your bath or apply it directly to your skin.
- Doxepin cream or capsaicin cream: The itch will likely be decreased by these.
You will likely be required to cover the affected area at night to prevent you from scratching the affected area anytime you sleep. The medicine can also easily penetrate thickened skin when you cover the area.
If everything stated above refuses to stop this itch, a less-traditional treatment method may be opted by your dermatologist. Medical journals have reported the following treatments for some patients who have neurological anytime the itch refuses to stop by corticosteroid:
- A solution which contains dichloromethane, that you’d apply to the affected area.
- Tacrolimus ointment (approved for the treatment of eczema), which you’d apply to the affected area.
Injection of botox (botulinum toxin): In a study of three patients, every patient has less itch, which is noticeable in a week. In two to four weeks, the patches of neurodermatitis in everyone had cleared.
Reduce thickened skin: If there is a thickening of the skin, a medicine may be recommended by your dermatologists which you will apply to your skin so it can help in reducing the thickness.
Treat an infection: If there is an infection in the area, a medicine will be prescribed to you by your dermatologist London which you either take for a particular time or apply to the affected area. If oral medicines (tablets, pills, etc.), are prescribed by your dermatologist, it is extremely necessary that you take every medicine even when the infection seems to have gone or you feel better.
Treat a wound: Sometimes, the constant scratching results in a wound that needs treatment. Wounds will solely be treated by any of the following:
- Surgical treatment
- Wound dressing
- Hyperbaric oxygen therapy
- Negative-pressure wound therapy
Treat stress and anxiety: Anytime medicine fails to clear neurodermatitis, it may be a good thing to think about what is happened in your life. Are you feeling anxious? Do you undergo too much stress in your life? The itch can be triggered by both anxiety and stress — even when the itch is being treated with medicine.
If anxiety or stress is always happening in your life, it may be necessary to do the following to eliminate the itch:
- Psychotherapy, so that you to talk about anxiety or stress and also look for ways these can be managed effectively.
- Anti-Anxiety medicine.
- The success story of a patient
A report on medical journal reveals that it can be useful to address the psychological problem. This story starts with a sixty-year-old woman who went to see a dermatologist because there is a patch that itches her intensity in her scalp. Sometimes, the itch in her scalp can be so severe that she scratches the affected area until it starts bleeding. After two years of scratching there was vital baldness in the itchy patch on her scalp.
Neurodermatitis was diagnosed to her by her dermatologist, and he prescribed the treatment plan that follows:
- Corticosteroid injections to be taken once in a week for four weeks.
- An anti-anxiety medicine
This treatment plan was followed by the woman. In three months, all her symptoms were gone in six months, and her hair grew again. She stopped taking this anti-anxiety medicine in the third month. At the six-month follow up with the dermatologist, there were no more symptoms or signs of neurodermatitis in her.
What’s the outcome for an individual with neurodermatitis?
There can be a complete clearing of neurodermatitis. It can take some time to see a treatment plan which works for you sometimes. You will likely have to try several treatment methods. Every time, it is fundamental that your treatment plan is followed. If you don’t treat neurodermatitis, it rarely goes away.
As soon as the neurodermatitis clears off, it can come back when triggered. The everyday things that trigger neurodermatitis include anxiety, stress, and anything which causes irritated your skin. If this is the case, you’ll be required to get it cleared again by treating it.
Some individuals are required to treat the region to prevent the return of neurodermatitis. You’ll be told by your dermatologist the right thing for you.
Neurodermatitis can be extremely itchy, so tips are offered by dermatologists to reduce the itch.