Neurodermatitis

"Atopic dermatitis is a chronic skin disease that often occurs in episodes and causes severe itching. While the skin is red and itchy in the acute phase, it is dry, sometimes thickened or cracked afterwards. Atopic dermatitis can significantly impair quality of life. With multimodal therapy, however, atopic dermatitis can be brought under control and new flare-ups can be prevented. On request, we combine conventional medical treatment methods with light treatments using monochromatic LEDs, which alleviate inflammation and symptoms."

C. Bettina Rümmelein, M.D., Specialist in Dermatology & Venereology
C. Bettina Rümmelein, M.D., Specialist in Dermatology & Venereology
Symptoms

Neurodermatitis symptoms

Neurodermatitis (also known as atopic eczema) mainly manifests itself as a skin rash with severe itching. The appearance of the skin varies depending on the stage of the disease. While the skin is reddened and very itchy in the acute phase, it then becomes dry, thickened and cracked. Atopic dermatitis usually occurs in episodes and can recur repeatedly. Rarely is the skin permanently reddened or itchy.

Atopic dermatitis occurs more frequently in different areas depending on age. In infants, it occurs more frequently on the legs, cheeks and the outside of the arms. From childhood onwards, the hands, backs of the knees, crooks of the elbows, palms of the hands, soles of the feet and the back of the neck are more likely to be affected.

Causes

Neurodermatitis causes

The exact causes of atopic dermatitis are not yet known. Scientific studies point to a number of possible factors that promote the development of the disease, such as an inadequate protective function of the horny layer. The horny layer is the uppermost layer of the skin and has the task of protecting the body from pathogens. In many neurodermatitis patients, the stratum corneum is disturbed so that pathogens can penetrate the skin and the body from the outside and trigger inflammation. We offer you a measurement of the so-called transepidermal water loss (TEWL). Another factor is allergenic substances that trigger the classic symptoms of atopic dermatitis in those affected. This can be checked with allergy tests.

Treatment

Neurodermatitis treatment

Multimodal therapy is used to treat atopic dermatitis. This means that several treatment options are combined to achieve the most effective and long-term result:

Acute care with ointment

  • Depending on the stage of the disease, various creams and ointments are used, which are applied to the affected areas. The most commonly used active ingredient in the ointments is cortisone, which effectively relieves inflammation and itching. There is also a range of cortisone-free active ingredient creams, which are chosen depending on the skin condition and localization.

Medication 

  • External treatment can also be supplemented by tablets. The spectrum ranges from antihistamines (against itching) to nutritional supplements and biologicals.

Avoidance of possible triggers

  • Many atopic dermatitis diseases are caused by contact with allergens that trigger an outbreak of the disease. It is important to identify this agent and then exclude it from everyday life as far as possible. We offer various allergy tests for this purpose.

Care routine

  • To avoid further flare-ups or to alleviate the symptoms, a daily skincare routine is essential for those affected. Moisturizing and moisturizing care products help the skin to stay healthy and prevent inflammatory reactions. We help patients to create an individual care concept.

Light treatment

  • In our practice we carry out a Light therapy which has an anti-inflammatory effect and helps to alleviate the symptoms of the disease. We do not work with UVA or UVB light as usual, but with monochromatic LED light. With Celluma and Healite we have two different options for light therapy. Which device is more suitable is determined on an individual basis.