Overview

An itchy or scratchy patch of skin is the first sign of neurodermatitis. Scratching aggravates the itching. Scratching causes the skin to thicken and becoming leathery. You might get multiple itchy places, usually on your legs, groin, wrists, or forearms. Between 3 millimeters by 6 centimeters and 6 centimeters by 10 centimeters are the sizes of the itchy patches.

Lichen simplex chronicus, another name for neurodermatitis is not lethal or contagious. However, the itching can be so severe that it interferes with your quality of life, sexual desire, and sleep.

It is difficult to break the neurodermatitis cycle of itching and scratching, and the illness is typically chronic. Treatment may help it go away, but it frequently comes back. Controlling the itch and avoiding scratching are the main goals of treatment. Finding and removing variables, such as dry skin, that make your symptoms worse may also be helpful.

Symptoms

Neurodermatitis manifests the following symptoms:

  • A patch or patches of skin that are both itchy and scaly.
  • Pain on affected area
  • Bleeding cracks or sore on the skin
  • Thick skin
  • Rough, raised patches that are inflammatory or appear darker than the surrounding skin
  • Genital skin that has an abnormal coloration and appears wrinkled
  • Hair loss if the scalp is affected

The scalp, neck, wrists, forearms, ankles, vulva, scrotum, and anus are among the reachable places that are affected. The itchiness, which can be very strong, may be constant or intermittent. You might itch your skin unintentionally or while you’re asleep.

If after two days, home remedies are still ineffective, consult a doctor if you notice that you keep scratching the same area of the skin the itchiness disturbs your sleep or activities of daily living.
If you get a fever, your skin becomes sore or seems infected, you should seek emergency medical attention.

Causes

Neurodermatitis’ precise cause is unknown. Something that irritates the skin, like tight clothing or a bug bite, may cause it to flare up. Itches increase in intensity as you scratch.
Neurodermatitis occasionally co-occurs with other skin disorders such psoriasis, atopic dermatitis, or dry skin. Itching can also be triggered by stress and anxiety.

Risk factors

The following factors can raise the likelihood of developing neurodermatitis:

  • Age. People between the ages of 30 and 50 are most frequently affected by the illness.
  • Gender. Neurodermatitis affects women more frequently than men, by a factor of 2:1.
  • Family history. Neurodermatitis may be more common in those with blood relations who have or have had hay fever, childhood eczema, or asthma.
  • Anxiety disorders. Neurodermatitis can be triggered by anxiety and stress emotionally.
  • Other skin problems. Neurodermatitis is more likely to occur in those who already have or have had other skin disorders such psoriasis or atopic dermatitis.

According to several recent studies, people who exhibit specific personality traits, such as poor social skills, lack of flexibility, a propensity to avoid pain, dependent on others, people-pleasing, and duty, are more likely to suffer neurodermatitis. Other research, however, has not discovered a relationship between personality and the illness.

Diagnosis

Your doctor will examine your skin and discuss your symptoms with you to determine if you have neurodermatitis. Your doctor can take a small sample of the afflicted skin and analyze it under a microscope in a lab to rule out any other disorders. The procedure is known as a skin biopsy.

Treatment

Controlling the itching, avoiding scratching, and addressing the underlying reasons are the main goals of neurodermatitis treatment. The illness frequently reappears, even after good therapy. Your doctor might advise one or more of the following therapies:

  • Creams or medications to control itchiness. Your doctor may prescribe a stronger corticosteroid or a nonsteroidal anti-itch medication with a calcineurin inhibitor, such as tacrolimus or pimecrolimus, if the over-the-counter corticosteroid cream isn’t working. Inhibitors of calcineurin may be useful for reducing itching in delicate regions, such as the genitalia.
  • Many people with neurodermatitis who experience itching can be helped by prescription antihistamines. Some of these medications may make you sleepy and assist stop you from scratching while you’re asleep.
  • Corticosteroid injections. Your doctor may administer corticosteroids intravenously to the affected skin to speed up the healing.
  • Anti-anxiety medications. Anti-anxiety medications may assist in reducing itching because neurodermatitis can be brought on by stress and anxiety.
  • Medicated patches. Your doctor could advise using patches containing lidocaine or capsaicin for persistent irritation.
  • Moisturizers. This controls itchiness dry skin
  • Talk therapy. You can discover how your thoughts, feelings, and actions can cause or stop scratching and itching by speaking with a counselor. Your counselor can recommend trying out certain behavioral methods.
  • Light therapy. People who have failed to respond to prior therapies may potentially benefit from this method. It entails exposing the afflicted skin to particular light wavelengths.
  • Botox injection. Those who have failed to respond to other therapies may find this method useful.

Doctors who treat this condition