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How to judge neurodermatitis? What are the early symptoms of neurodermatitis?

What are the early symptoms of neurodermatitis? What are the early symptoms of neurodermatitis? How to judge neurodermatitis? With these questions, let's see how experts introduce neurodermatitis to us in detail.

In the early stage of the disease, only the affected part itches intermittently, especially at night. It often causes insomnia. After scratching, the skin appears light brown round or polygonal papules, with smooth surface or covered with sugar skin like scales, dense groups. With the development of the disease, the papules gradually melt into pieces, forming a heroic mossy change. At this time, the lesion skin is dry, thickened, and the dermatoglyphs are deepened. The cristae are protruding, rhombic or polygonal, and the boundary is clear.

1. Young adults are more common than old people and children.

2. Chronic course, sometimes mild and sometimes severe, generally aggravated in summer and relieved in winter. The course of the disease can be divided into three stages

(1) In the quiescent stage, the superficial inflammation is slight or absent, the lesion is limited and the boundary is clear.

(2) In the progressive stage, the inflammation is obvious, the infiltration is obvious, the skin lesion expands, the edge is unclear.

(3) In the degenerative stage, the infiltration is slight, the lesions become thinner and tend to heal.

3. From the point of view of distribution, the disease can be divided into two types, localized and generalized. The most common sites were neck (Figure 1), neck, forehead, sacrococcygeal fossa, cubital fossa, and popliteal fossa. There were low back, two hips, vulva, anus, groin, eyelids, scalp, limbs, etc. It is usually symmetrically distributed, with linear arrangement along the skin folds or cutaneous nerves.

4. At the beginning, local pruritus was first felt. Due to scratching, the skin became lichenized rapidly. The typical damage was round or polygonal hard and glossy papules with the size of most grains of rice to sorghum, light red to yellowish brown or the same color as the skin. The papules were dense, with a small amount of scales on the surface, accompanied by scratches and blood scabs. The lesion is most obvious in the center, the closer to the edge, the less clear the boundary. After a long time, due to scratching stimulation, the skin infiltrates and thickens, and the cristae and sulcus are obvious. When it occurs in the lower leg, the surface may be verrucous for a long time. Persistent scratching and rubbing on the tibia or upper back can cause starch deposition in the dermis, and then develop into patchy and mossy amyloidosis respectively. Long term scratch can have infection, such as folliculitis, furuncle, etc.

5. Patients with paroxysmal pruritus, especially at night, can affect sleep, work and life.

According to paroxysmal pruritus, skin lichenization and the predilection site of the disease, it can be diagnosed.

Pathogenesis and syndrome differentiation of traditional Chinese medicine: Traditional Chinese medicine believes that this disease is mostly due to emotional failure, depression, inflammation of heart fire, resulting in the imbalance of Qi and blood operation, stagnation in the skin, long-term consumption of blood damage Yin, blood deficiency into dryness and wind, or due to spleen accumulation of damp heat, re feeling wind evil, accumulation in the skin and onset.

After reading the above content, we should have some understanding of the early symptoms of neurodermatitis? What are the early symptoms of neurodermatitis? What are the early symptoms of neurodermatitis? What are the early symptoms of neurodermatitis? Today we will introduce here, and more topics about neurodermatitis will be introduced in the following articles Shao, welcome to check. I wish you good health!