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Prurigo Nodurlaris

Prurigo Nodurlaris . By: Loni Nelson. Pathology & Etiology. Definition: Prurigo Nodularis is trauma to the skin because of repetitive scratching, itching, rubbing, and touching resulting in purpuric lesions (bumps) Cause:

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Prurigo Nodurlaris

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  1. Prurigo Nodurlaris By: Loni Nelson

  2. Pathology & Etiology • Definition: Prurigo Nodularis is trauma to the skin because of repetitive scratching, itching, rubbing, and touching resulting in purpuric lesions (bumps) • Cause: The cause is not known but is usually connected to family history of eczema, HIV, and other skin diseases. Of course, this disorder is also caused by the extreme amount of scratching and itching.

  3. Signs Symptoms • Red Lesions covering large portions of the extremities • Scaly, crusted bumps • “Pimples” all over the body • Open wounds on the arms/legs/stomach • Depression • Anxiety when in crowds • Self-conscious about body • Feelings of loneliness, and desertion • No self confidence

  4. Medical & integrative Treatments • Although there is no cure for this disorder, there are some treatments people may go to, to control the lesions from becoming worse. Such as: Vitamin D-3, Phenol, Antihistamines, and Habit Reversal therapy. All of these try to help the person control their disorder. I will go over the most successful treatments on the next slide. • Also, the one integrative treatment is easily explainable. Doctors suggest that the patients should take it under their own power and rub a cream on their severe lesions. This cream is called Cortisone cream, which can help with the need to itch the lesions.

  5. Medical cont.. • Antihistamines are used to relieve the patients of the habits that are formed from this disorder. Mainly, the biggest habits which is the severe itching and scratching. Both of these are minimized by the use of a variety of antihistamines. • The medication Thalidomide is also used to lower some other habits as well. Thalidomide is used sparingly because of the various, dangerous side affects, especially when pregnant women. This drug is also used to lower the itching and to reduce the signs and symptoms o this disorder. • The habit reversal therapy is just like it states. The habits that I have mentioned above are also reduced at a personal level. Dermatology nurses will train and help people out of their habits.

  6. Prognosis • It is usually the case that people live through this disorder, but not without the disease leaving behind some marks. When Prurigo Nodularis first begins to diminish from the skin, many of the larger lesions leave behind major scars. This process also isn’t immediate, usually the lesions progress over time, which makes a longer recovery period. If the person(s) affected stop their habits quicker, the lesions will leave faster.

  7. Interesting Facts • Can affect all ages– more or less in the 20-30 range. • Affects both genders • Lesion numbers group together from 2-200 • A skin biopsy is usually how doctors diagnose this disease early on • Damages both the epidermis and the top layer of the dermis

  8. Affecting the Individual • i. When surrounding an individual with Prurigo, they would feel extreme shyness, embarrassment, wouldn’t want to go out a lot if the lesions were easily seen, affecting how they could get jobs, friends, exercise and relationships. • ii. I would feel restricted and extremely self-conscious of the way I could demonstrate myself.

  9. ...Cont. • iii. It depends on how much they want to have of the medication on a regular basis. The more they need I’m sure the more money they will have to pay, but the treatments provided are not extremely expensive so it is affordable. • This person could definitely attend school and work. With the right kind of clothing attire (long-sleeves) and the right kinds of precautions when in crowds it is really all about the personal dedication to preserving their own needs.

  10. Affecting the Families • i. I don’t think the families will be as hindered as the other person. The family would only be more aware of what some of people with Prurigo Nodularis go through. • ii. Since it isn’t contagious, the family wouldn’t be as affected. The family would just be more sensitive to activities like swimming, or yoga, activities that would show a lot of skin. • iii. Since most of the treatments are covered by health care the families will most likely be able to afford the treatments. • iv. If the family is educated and alerted of the disorder I don’t see why the individual couldn’t be supported by their family to go to school and/or work.

  11. Affecting the School/Community • i. If some people aren’t educated enough about Prurigo Nodularis then they would most likely judge or act differently towards someone who does has it. That would limit some people to become social with those people with nothing essentially wrong. • ii. If the individual wanted to attend school, I believe there is one class where the teachers would have to be the most sensitive. Physical Education is important, but someone with Prurigo Nodularis would have many insecurities and most likely wouldn’t be comfortable with exposing that much skin.

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