Neurodermatitis – causes, symptoms on the hands and face,treatment, diet, prevention

Neurodermatitis is a chronic neurogenic skin disease.
of nature, occurring according to the type of allergy and manifested by rashes and
severe itching. The disease affects at any age, but never
develops immediately after birth. Incidence is higher in
women than men.

For more information about what this disease is, what
causes and first symptoms in adults, and that doctors
prescribed as a treatment for the rapid recovery of skin
cover.

What is atopic dermatitis?

Neurodermatitis

Neurodermatitis is a chronic skin disease.
neurogenic-allergic type, occurring with periods of remission and
aggravations.

Neurodermatitis in adults is most often the result of pediatric
eczema, developing on the background of exudative diathesis. At the base
diseases lie allergic reactions and negative effects
environmental factors. The disease is different seasonal
nature of the flow, in the winter time there are aggravations, in the summer
– full or partial remission of the disease.

Neurodermatitis is characterized by true polymorphism of lesions.
(more than two types of rash at the same time, for example, vesicles and papules),
unlike false polymorphism, when on the skin at the same time
there is a primary element of the rash (eg, vesicles) and its
evolution (crust).

On the nature of the rash affect:

  • age;
  • hormones;
  • type of immune response.

3 degrees of severity:

  1. Easy – exacerbations are rare and short-term, foci have
    limited localized, itching slight, good
    effect of therapy.
  2. Medium – 3 – 4 exacerbations during the year, which, by
    compared to a mild course, longer, foci are worn
    common, the results of therapy are not enough
    or not always.
  3. Severe – exacerbations frequent and prolonged, skin lesions
    covers widespread or diffuse, intense itching, sometimes
    unbearable, the results of treatment are insignificant.

Classification

Depending on the prevalence of lesions of the skin
The following forms of neurodermatitis are distinguished:

  • ограниченную (лишай Видаля) — захватывает отдельные
    skin patches
  • диссеминированную — объединяет несколько очагов
    ограниченного neurodermatitis.
  • диффузную – разлитое поражение кожных covers.

A number of authors identify with atopic dermatitis
diffuse atopic dermatitis.

Neurodermatitis Features
Hypertrophic the manifestation is tumorous, the area of ​​concentration –
groin area
Psoriasiform manifested in the head and neck, has the appearance of covered with small
scales compacted red foci.
Linear Linear нейродермит – характеризуется появлением в областях
bend the limbs of itchy streaks.
Dekalviruyuschy manifested in the area of ​​the hairy areas on the body during their subsequent
loss in these zones.
Follicular characterized by the formation of pointed papules in the area
hair areas.

The reasons

Common causes of neurodermatitis
experts believe:

  • ослабление immunity;
  • intoxication of the body;
  • inflammatory processes;
  • metabolic disease;
  • gastrointestinal tract diseases;
  • hereditary predisposition;
  • mental or physical exhaustion;
  • poor nutrition and disruption of the day;
  • neuropsychological disorders, neurosis, stress,
    depressed.

Also the causes of neurodermatitis are external environmental factors,
which cause allergic reactions:

  • Pet hair;
  • Food aquarium fish (dry mix);
  • A feather filler of mattresses, pillows, blankets;
  • Some cosmetics and perfumes;
  • Pollen flowers;
  • Food (nuts, citrus, honey, etc., as well as
    dyes and preservatives in food);
  • Medicines.

Neurodermatitis не относится к заразным заболеваниям. Often его
The primary cause is a genetic predisposition to
allergies. The disease can react to the human body
any irritant – from pet hair to a loved one
cosmetic products.

Симптомы нейродермита + фото

The first signs of neurodermatitis include such primary
morphological elements like:

  • epidermal dermal papules that are of normal color,
    intrinsic to the skin. These papules in certain places with each other
    merge, forming thereby zones of papular infiltration
    solid type.
  • In these areas, the skin is dry, has a significant amount
    excoriations, as well as small scales.
  • As a result of infiltration, often in the areas of skin folds
    cracks appear.

фото

Neurodermatitis на шее

Localization of foci – different areas of the body, but mainly
defeat occurs:

  • scalp (occipital region),
  • back and side of the neck,
  • on the hands – elbow bend zone,
  • in the area of ​​the inguinal-femoral fold,
  • crotch – interyagodic folds of the anogenital zone and
    scrotum,
  • and also on the legs in the area of ​​the inner thighs and
    popliteal fossa.

Differential diagnosis is carried out with:

  • psoriasis;
  • flat red lichen;
  • eczema;
  • pruritus
  • mushroom mycosis.

On the face

Neurodermatitis на лице возле нижней губы

Neurodermatitis на лице often becomes solid,
thereby acquiring the character of the secondary form of erythroderma.
Often marked infection foci with subsequent development
lymphadenitis (inflammation of the lymph nodes), lymphangitis. Often
the disease is combined with diseases of the allergic type
(urticaria, pollinosis, asthma).

Neurodermatitis on the hands

Neurodermatitis on the hands проявляется severe itching. More often
Neurodermatitis is prone to the elbow and forearm area. the washing up
affected areas are painful, use of shower gels and
moisturizer only worsens the course of the disease.

  • On the skin there are numerous scales that turn into
    weeping crusts.
  • Crusts disappear, wounds remain under them, after this process
    repeats again.

фото рук при нейродермите

The main symptom of the acute stage of the disease is:

  • unbearable itching that is worse at night. Other
    signs appear later.
  • At first, the rash is reminiscent of red spots, papules and plaques,
    prone to merge.
  • Because of scratching, the body is affected by a secondary infection, which
    turns elements into pustules – bubbles with content.
  • Skin tissues swell and appear puffy.

With limited neurodermatitis, skin lesions are usually
Presented by:

  • local itchy plaques of no more than a hand in
    areas of the back or side of the neck, inguinal-femoral
    folds, scrotum, labia, interdigital fold.
  • Modified skin areas are lichenification zones,
    surrounded by disseminated papules on the periphery.
  • In the late period of neurodermatitis at the edges of the lesions is formed
    hyperpigmentation, against which, in places combing, can
    to form secondary leucoderma – areas of discolored
    skin.

Symptoms of diffuse form:

  • Одно из самых пагубных заболеваний skin. Besides the fact that
    affects many parts of the body, and affects the face.
  • Rashes are observed on the eyelids and lips. They can also
    manifest on the inner sides of the elbows and knees
    bends.

Relief in these conditions is achieved by
ultrasound sessions and physiotherapy.

Patients may experience the following symptoms:

  • anxiety;
  • irritability;
  • depression;
  • быстрая утоmlяемость;
  • lethargy and apathy;
  • excessive emotionality;
  • tearfulness;
  • sleep disorders.

In some cases, atopic dermatitis in adults can cause
development of lymphadenitis (inflammation of the lymph nodes), and this, in its
queue, leads to deterioration of the work of many organs. Usually,
recurrences of the disease occur in the cold season, and in the summer
period, on the contrary, patients show significant improvements in
health condition.

Persons with lesions are subject to the greatest suffering.
localized on the hands. This is due to the fact that the hands most
affected by moisture and mechanical stress, aggravating
course of the pathological process.

Treatment

A universal treatment system that can fully
to save a person from this disease does not exist today.
Therapeutic methods prescribed by the doctor depend on the reasons
the degree of manifestation of the disease, the individual characteristics of the patient,
the presence of complications. How to treat atopic dermatitis?

The main directions in the treatment are:

  • regulation of the day, physical exertion;
  • diet food;
  • taking medications (including external);
  • physiotherapy.

Phased therapy:

  1. The first step in the treatment of neurodermatitis is to stop contact with
    specific allergen (if already known) and with all
    non-specific antigens that contribute to exacerbation
    neurodermatitis.
  2. The second step is basic therapy in the period of remission (period
    absence of symptoms) which is to use
    emollients and moisturizers (bepanten, emolients, actovegin and
    others).
  3. The third step is the selection of drugs for outdoor (local) and
    общей терапии в зависимости от фазы neurodermatitis.

Medicines

In the treatment of neurodermatitis it is shown to use antihistamines.
2nd and 3rd generation drugs. They do not have a pronounced
sedative and hypnotic action. Reception frequency – only 1 time per
day.

At the physician’s choice, the following drugs are prescribed:

  • Ketotifen;
  • Loratadine;
  • Allergodil;
  • Claritin.

Glucocorticosteroids are prescribed for severe disease,
which is accompanied by angioedema, urticaria, severe itching.
Drugs of choice – Prednisolone, Triamcinolone, Dexamethasone,
Hydrocortisone, Cortisone.

In addition to tablets of corticosteroids, it is shown
use of ointments and moisturizers. Ointment applied 1 time
day. Long-term use of these drugs reduces
natural production of adrenal hormones, so the means
use courses with interruptions.

Before using hormonal ointments, be sure to
consult a doctor because they have contraindications and
side effects for the body.

Non-hormonal ointments for neurodermatitis in adults contribute to
reduce the power of symptoms. These remedies relieve itching,
softens the skin, dries pimples, have
anti-inflammatory effect. Popular non-hormonal
preparations are:

  • Naftaderm – medicine eliminates inflammation, reduces itching,
    heals the skin.
  • Radevit – starts the process of tissue regeneration, contains
    vitamins.
  • Gistan – used to relieve itching and prevention
    neurodermatitis and atopic dermatitis in adults.
  • Desitin – contains zinc oxide, which has
    anti-inflammatory and antiseptic properties.

For topical treatment of neurodermatitis in dermatological practice
various lotions are used (boric, resorcinol, tannin),
as well as pasta with tar, ichthiol, naphthalan, etc.

In severe cases, the affected skin areas are superimposed.
non-halogenated corticosteroid ointment
actions that do not cause atrophy and thinning of the skin
covers.

These drugs have a minimum of side effects, and therefore their
allowed to use even in the treatment of young children.

With the complication of neurodermatitis bacterial / viral infection
Adult patients are prescribed antibacterial ointment:

  • Symbicort;
  • Oxycort;
  • Hyoxysone;
  • Corticomycin.

Patients with neurodermatitis correct enzyme deficiency,
treat diseases of the digestive tract and biliary tract. Eliminate
putrid processes in the intestines and bring microflora back to normal
Gastrointestinal tract.

  • For this prescribe enzyme preparations: Pancreatin; oraz;
    pankurmen; abomin; panzinorm; festal.
  • For the treatment of dysbiosis used: bifokol; bifidumbacterin;
    colibacterin. To clean the intestines used slag diet.
    In the course of the treatment of neurodermatitis use vitamins A, B and PP�

For periods of exacerbation, they also recommend correction.
dysbacteriosis and start taking a course of enterosorbents (Enterosgel,
�”Polyepan”). Sorbents are used on an ongoing basis.
impractical because they lead to the removal from the intestine is not
only allergens, but also vitamins that are reimbursed
difficult due to food restrictions and intolerance to synthetic
analogues.

Physiotherapy

An important component of successful therapy for neurodermatitis is
application:

  • phototherapy (UV), phototherapy method, salt or coniferous
    baths Procedures are prescribed after remitting the exacerbation, the course of treatment
    consists of 10-15 sessions.
  • In nervous system disorders, sessions give a good effect.
    electrosleep and suggestive therapy.
  • Patients with atopic dermatitis have a positive effect 
    Spa treatment on the coast of the Black and Dead Sea,
    it helps to consolidate a positive result and allows
    achieve long-term remission.
  • With a limited form of neurodermatitis, a patient is prescribed.
    electrophoresis procedures, darsonvalization, therapeutic wrapping
    mud.

Diet for neurodermatitis

Most often the disease occurs on the background of allergies or disorders
work of the gastrointestinal tract, therefore, a diet for patients with neurodermatitis –
This is a prerequisite for successful treatment.

It is necessary to increase the consumption of such substances:

  • green and white vegetables and fruits (cabbage, zucchini,
    Squash, asparagus beans, green peas, green apples,
    pears, plums, gooseberries, white currants);
  • parsley, lettuce and dill;
  • vegetable fat;
  • butter;
  • non-sharp cheeses;
  • products containing yeast;
  • cereals and pasta;
  • galetny cookies and sushka;
  • meat;
  • cottage cheese;
  • vegetable and milk soups;
  • fermented milk drinks;
  • compote from dried fruits;
  • jelly;
  • dogrose broth;
  • green tea;
  • mineral water.

Nutrition for neurodermatitis should be balanced and
contain all the necessary body substances. But at the same time
It is necessary to exclude from the diet foods that can serve
allergens and cause exacerbation of the disease.

Prohibited foods:

  • Vegetables and fruits are red, orange or yellow
    (apricots, peaches, citrus, pomegranate, persimmon, strawberry, tomato,
    carrot, pumpkin, beet).
  • Spinach, asparagus, sorrel and rhubarb.
  • Sugar, sweets and honey.
  • Salty, spicy dishes and smoked meats.
  • Eggs, fish and fresh milk.
  • White bread.
  • Soy, lentils.
  • Chocolate, sweets.
  • Potato chips, french fries, fast food.
  • Rich broth, semi-finished products.
  • Spices and spices (horseradish, vinegar, mustard, pepper, onion,
    garlic).
  • Nuts and peanut butter.
  • Black and red grapes.
  • Coffee, cocoa, black tea.
  • Carbonated drinks.
  • Products with preservatives, dyes, thickeners and other
    chemistry
  • Alcoholic beverages (beer, wine, champagne)

Rules of diet for neurodermatitis:

  • If neurodermatitis develops on the background of obesity, then it is necessary
    parallel to the fight against obesity: arrange unloading
    days, limit your caloric intake to 2000 Kcal per
    day;
  • The menu should have a lot of vegetables and fruits, rich in vitamins and
    fiber, because they improve digestion and clean the intestines;
  • It is desirable to limit the consumption of fish, because some of its
    species can trigger allergies. Meat can only eat lean
    varieties and in combination with greens;
  • In the diet it is allowed to introduce also low-fat cheeses, fermented milk
    drinks, vegetable oils, teas, cereals and berries.

Folk remedies

Before using folk methods for neurodermatitis, be sure to
consult a dermatologist. Because there are contraindications

  1. Tincture of burdock root 1 tablespoon of burdock root 200 ml
    water Grind burdock root. Нагрейте 200 ml воды и забросьте
    there burdock. Boil for 15 minutes. Remove from heat and
    wrap in warm fabric. Insist on for 2 hours. Received
    drink tincture three times a day for a tablespoon.
  2. Tincture of oak bark leaves, birch leaves, nettle,
    flaxseed, mint, coriander and wormwood are applied using
    bandage on the affected areas, stand up to complete drying,
    then replace the compress. Such gadgets are especially effective for
    treatment of neurodermatitis on the hands. Repeat the procedure until
    symptoms do not begin to disappear;
  3. Herbal lotions. To relieve inflammation, infusions prepare
    strong. On 1 liter of boiled water put 15 tablespoons of dried herbs. Their
    pour boiling water and insist about 10 hours. For cooking
    such a tool needs the following plants: chamomile, mint, root
    Althea, series, juniper, thyme, oregano, St. John’s wort.
  4. Compress from clay: 20 g of blue clay, 20 g of sea salt, water
    Stir the clay with sea salt, add water. Blend by
    The consistency should resemble sour cream. Put clay on
    Keep lesions until dry. Rinse with warm water. This
    A compress should be done daily for two weeks.
  5. Take hop cones and leaves of a train (1: 1). Pour over 2 tsp.
    смеси 200 ml кипятка. Defend and drink before bedtime for one
    reception

Forecast

Limited neurodermatitis has an easier course than
diffuse form. Persistent itching and cosmetic defects cause
fixation of patients in their condition leading to secondary
mental stratifications, worsen the quality of life, limit
performance

However, with age (by about 25-30 years), many
patients even with diffuse neurodermatitis may experience regression
symptoms to focal manifestations or even spontaneous
self healing

Prevention

To prevent illness, use the following
recommendations:

  • make a healthy menu, eliminating allergens;
  • choose clothes made from natural fabrics
    origin;
  • exercise, exercise;
  • With neurodermatitis, it is important for adults to monitor their condition.
    immunity;
  • исключите частые стрессы и переутоmlение;
  • Do not use cosmetics with aggressive ingredients when
    neurodermatitis.

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