Prurigo nodularis (PN) lesions tend to have more immune cells present, such as macrophages, mast cells, and neutrophils. These cells cause skin inflammation, leading to itchiness, redness, and swelling. Additionally, people with PN often have excess keratin due to constant itching and scratching. Blood tests can help Show Full Answer
The answer to that is to make an appointment with your primary care physician or a rheumatologist. When I first met my rheumatologist, she described herself as a detective and I agree with that assessment. The rheumatologist has the most accurate information about the immune system and autoimmune conditions. An immunologist also can provide that insight as well. Good luck.
Luck of the draw like most of us..