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Integrative Management of Neurodermatitis 

Integrative Management of Neurodermatitis
Chapter:
Integrative Management of Neurodermatitis
Author(s):

Reena Rupani

and Daniel Butler

DOI:
10.1093/med/9780199907922.003.0019
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date: 30 May 2020

Neurodermatitis, also known as lichen simplex chronicus , is a disorder characterized by excessive, vigorous scratching to relieve an itch that can be cutaneous, neuropathic, or psychogenic in origin. The chronicity of the itch-scratch cycle is the hallmark of the disease. Lichenification is the characteristic skin change, and the lesional patterns of the condition can clue an astute clinician to the diagnosis. Through not always easy to diagnose, neurodermatitis typically occurs on body parts that are within reach. The cycle is self-propagating, as scratching leads to increased release of pruritogenic inflammatory mediators. This chapter will focus on neuropathic and psychogenic sources of neurodermatitis, as cutaneous pruritus has been discussed separately.

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