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Real members of MyPrurigoTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

It's there, often a core, and then I itch. I don't cause it by scratching.

June 9, 2025
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A MyPrurigoTeam Member

I do not scratch or itch. I cope as best as I can. Mostly I put an ice pack on any itching areas. That being said scratching and itching has nothing to do with causing my PN.

July 17, 2025 (edited)
A MyPrurigoTeam Member

I am so sorry! I have had several times excruciating pain and black stuff pops out. All I can figure is it's those cells that have just been sitting in there. First time I thought it was a bug. I sympathize, it really hurts.

August 4, 2025
MyPrurigoTeam

The relationship between itching and PN is complex. While scratching can worsen symptoms, research shows that people with PN have more nerve fibers in certain skin layers and increased inflammatory immune cells, including mast cells that release histamine. This unique skin composition may explain why some people experience Show Full Answer

The relationship between itching and PN is complex. While scratching can worsen symptoms, research shows that people with PN have more nerve fibers in certain skin layers and increased inflammatory immune cells, including mast cells that release histamine. This unique skin composition may explain why some people experience itching before visible nodules appear. PN can be triggered by various factors beyond scratching, including:

• Stress
• Insect bites
• Nerve conditions causing stinging sensations
• Bacterial or viral infections
• Systemic health conditions

The intense itching, burning, or stinging sensations you experience may develop before scratching occurs, making it feel like the nodules come first.

June 9, 2025
A MyPrurigoTeam Member

Well done not scratching or itching. Once you start it aggravates it to be scratched more and more and finally you pick and pick and the you really wish you hadn’t started. I feel my nodules about to pop through the skin and that for me is when it is at its worst. Mine is on my scalp. The skin is much thinner and what I feel is like a needle stabbing me where the nodule is about to pop through. I just feel like I want to rip my hair out. It sort of pops out through the hair follicles. So painful it does push me into depression. I try and read to take my mind off of the pain. Must say it is worse at night. Starts around 6pm. And I am up half the night. No one really understands the
pain intensity.

August 4, 2025
A MyPrurigoTeam Member

I agree too!!

June 10, 2025

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