Brief Answer:
Nodular prurigo is more probable
Detailed Answer:
Hi XXXX,
Welcome back. And thanks a lot for good answering and photographs. You made my task very easy sending photos. Now listen, you are having
neurodermatitis , it may be also called
prurigo nodularis.
In such scenario, this is what I would do to my patient. I would suggest to take anxiolytic drug like fluoxetin 20 mg daily in the morning. And take antihistaminics like
levocetirizine 10 mg daily at night. Both the tablets may be taken for long time few months to few years. There may be some sedation, otherwise safe. Continue even after the lesions are healed. And
steroid like methylprednesolone may be taken in tapering doses as.. 8mg thrice a day for 10 days,then 8 mg twice a day for 10 days, then 8 mg once daily for 10 days. Then 8 mg alternate days for one month. And 8 mg twice a week for one month. Then you may stop... So, methylprednesolone may be taken in tappering dose for three months..then you may stop.
All the above drugs are prescription drugs. You should take them under strict supervision of your treating doctor.
You may
consult dermatologist for intralesional steroid injection.
Triamcinolone 10 mg may be used. Injections may be taken in each lesions by expert hands.
Local application of tacrolimus 0.1 % or potent steroid cream may be done.
Avoid worries and tension. Avoid soap bath. You may use savlone liquid fo
scalp cleansing.
Avoid sea food,eggs,cows milk,fermented foods and brinjal in diet.
You may be benefited, still, any query, you may ask.
I hope you got my answer.
Thanks.
Dr. Ilyas Patel MD