Prurigo nodularis - I-Prurigo Nodularis https://en.wikipedia.org/wiki/Prurigo_nodularis
https://en.wikipedia.org/wiki/Prurigo_nodularis
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References Prurigo Nodularis 29083653
 Prurigo Nodularis 29083653 NIH
i-Prurigo nodularis yisimo sesikhumba esihlala isikhathi eside esibonakala ngamaqhubu namaqhuqhuva amaningi aqinile, ngokuvamelyo atholakala ezingxenyeni ezingaphandle zezingalo nemilenze. Lawa maqhuqhuva angashintsha umbala kusuka kokumnyama kuya kokubomvu futhi ayaluma kakhulu. Angathinta abantu banoma iyiphi iminyaka futhi avame ukuhambisana nezinye izimo zesikhumba ezibangela ukulunywa okungapheli, njenge-atopic dermatitis. Izinketho zokwelapha zihlanganisa imithi eqinile yokulwa nokulunywa, izidakamizwa ezithinta isimiso somzimba sokuzivikela, nemithi eqondisa isimiso sezinzwa. Ukuphatha i-Prurigo nodularis ngokuvamile kudinga ukwelashwa kwesikhathi eside.
Prurigo nodularis is a chronic disorder of the skin that is classically seen as multiple, firm, flesh to pink colored papules, plaques and nodules commonly located on the extensor surfaces of the extremities. The lesions are very pruritic and can occur in any age group. It is commonly associated with another disease such as atopic dermatitis or any dermatoses associated with chronic pruritus. The therapeutic approach is wide-arrayed ranging from treatments that act as - potent antipruritics, immunomodulators, and neuromodulators. Treatment in an established case is prolonged and improving patient compliance with education and counseling is important.
 Treatment-resistant prurigo nodularis: challenges and solutions 30881076
 Treatment-resistant prurigo nodularis: challenges and solutions 30881076 NIH
Ukwelashwa ngokuvamile kuhilela ukusebenzisa okhilimu noma imijovo ye‑steroid endaweni ethintekile. Ezimweni ezinzima kakhulu noma ezinenkani, kungase kudingeke ukwelashwa okufana nokusebenzisa imithi ecindezela amasosha omzimba. I‑Thalidomide ne‑Lenalidomide yizinketho ezimweni ezinzima, kodwa zingaba nemiphumela emibi kakhulu. Ukwelashwa okusha (opioid receptor antagonists, neurokinin-1 receptor antagonists) kubonisa ithemba ekwelapheni i‑prurigo nodularis, ngokuba nemiphumela engemihle embalwa uma kuqhathaniswa ne‑Thalidomide noma i‑Lenalidomide.
Treatment typically relies on the use of topical or intralesional steroids, though more severe or recalcitrant cases often necessitate the use of phototherapy or systemic immunosuppressives. Thalidomide and lenalidomide can both be used in severe cases; however, their toxicity profile makes them less favorable. Opioid receptor antagonists and neurokinin-1 receptor antagonists represent two novel families of therapeutic agents which may effectively treat PN with a lower toxicity profile than thalidomide or lenalidomide.
 Chronic Prurigo Including Prurigo Nodularis: New Insights and Treatments 37717255
 Chronic Prurigo Including Prurigo Nodularis: New Insights and Treatments 37717255 NIH
I‑Chronic prurigo yisimo sesikhumba esibonakala ngokuluma okuhlala isikhathi eside (okuthatha ngaphezu kwamaviki angu‑6), izilonda esikhumbeni ezihambisana nokunwaya, kanye nomlando wokunwaya njalo. Kubandakanya i‑neuroinflammation kanye ne‑fibrosis esikhumbeni.
Chronic prurigo (CPG) is a neuroinflammatory, fibrotic dermatosis that is defined by the presence of chronic pruritus (itch lasting longer than 6 weeks), scratch-associated pruriginous skin lesions and history of repeated scratching.
 Prurigo Nodularis: Review and Emerging Treatments 34077168
 Prurigo Nodularis: Review and Emerging Treatments 34077168I‑Prurigo nodularis yinkinga yesikhumba ehlala isikhathi eside, ephawulwa ngamaqhuqhuva alomayo. Asazi ngempela ukuthi ibangelwa yini, kodwa kubonakala sengathi izinkinga zokuzivikela komzimba nezinzwa zinendima emjikelezweni wokulunywa. Okwamanje, azikho izindlela zokwelapha ezigunyazwe yi‑US FDA ezihloselwe i‑Prurigo nodularis ngqo.
Prurigo nodularis is a long-lasting skin problem marked by itchy nodules. We don't know exactly what causes it, but it seems that immune and nerve issues play a role in the itch-scratch cycle. Right now, there aren't any treatments approved by the US FDA specifically for prurigo nodularis.
 
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Ukuxubha indawo enesilonda ngensipho akusizi futhi kungaba yimbangela yokulimala okwengeziwe. Amafutha e-OTC steroid angasiza ekudambiseni izimpawu, kodwa ngokuvamile kudinga ukusetshenziswa amasonto ambalwa ukuze kutholakale umphumela. Ukuqhubeka nokuthatha ama-antihistamine nakho kusiza ekwehliseni ukulunywa.
#OTC steroid ointment
#OTC antihistamine
○ Ukwelashwa
#Intralesional triamcinolone injection