II. Epidemiology
- More common in Atopic Patients (Atopic Dermatitis)
III. Pathophysiology
- Response to chronic Atopic Dermatitis
IV. Symptoms
- Bouts of intense itching
- Rash does not appear until after scratching starts
- Rash may appear spontaneously
-
Itching awakens person from sound sleep
- Scabies and Rhus Dermatitis prevent getting to sleep
- Associated with emotional stress or depressed mood
V. Signs
- Characteristics
- Red Papules and Plaques
- Overlying lichenification
- Sites of involvement
VI. Differential Diagnosis
VII. Complications
VIII. Management
- See Pruritus Management
- Maximize management of Atopic Dermatitis
- Frequent application of Skin Lubricants
- Replaces the habit of scratching
- Bedtime Antihistamines
- Topical antipruritics
-
Topical Corticosteroids
- For inflammatory rash
- Occlusion helpful for lichenified areas
- Intralesional steroids
- Consider in scalp-picker's Nodules
- Systemic Steroids
- Consider in severe refractory cases
- Prednisone 20 mg qd for 14 days
- Occlusion
IX. References
- Habif (1996) Clinical Dermatology, Mosby, p. 69
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| Definition (NCI) | Skin findings arising from repeated rubbing, picking or scratching of a real or imagined irritation of the skin.(NICHD) |
| Definition (MSH) | An extremely variable eczematous skin disease that is presumed to be a response to prolonged vigorous scratching, rubbing, or pinching to relieve intense pruritus. It varies in intensity, severity, course, and morphologic expression in different individuals. Neurodermatitis is believed by some to be psychogenic. The circumscribed or localized form is often referred to as lichen simplex chronicus. |
| Concepts | Disease or Syndrome (T047) |
| MSH | D009450 |
| SnomedCT | 156383005, 267854005 |
| English | Neurodermatitides, Neurodermatitis, neurodermatitis, neurodermatitis (diagnosis), Neurodermatitis [Disease/Finding], Lichen Simplex Chronicus, Neurodermatitis (disorder) |
| Swedish | Neurodermatit |
| Japanese | ｼﾝｹｲﾋﾌｴﾝ, 苔癬-慢性単純, 神経皮膚炎-限局性, 慢性単純苔癬, 限局性神経皮膚炎, 神経皮膚炎 |
| Czech | neurodermatitida, Neurodermatitida |
| Finnish | Neurodermatiitti |
| Russian | NEIRODERMATIT, NEIRODERMIT, НЕЙРОДЕРМАТИТ, НЕЙРОДЕРМИТ |
| Polish | Neurodermit, Świerzbiączka ogniskowa, Liszaj przewlekły |
| Hungarian | Neurodermatitis |
| Norwegian | Nevrodermatitt |
| Croatian | NEURODERMATITIS |
| Spanish | neurodermatitis (trastorno), neurodermatitis, Neurodermatitis |
| Dutch | neurodermatitis, Dermatitis, neuro-, Neurodermatitis |
| French | Neurodermite, Névrodermite |
| German | Neurodermitis |
| Italian | Neurodermatite |
| Portuguese | Neurodermatite |
