Is phototherapy effective for prurigo nodularis with severe itch and bumps?
Phototherapy can be effective for PN, especially when topical treatments aren't working well or when large areas of your body are affected. It uses controlled doses of ultraviolet light to calm the skin and reduce itching.
However, there are some Show Full Answer
Is phototherapy effective for prurigo nodularis with severe itch and bumps?
Phototherapy can be effective for PN, especially when topical treatments aren't working well or when large areas of your body are affected. It uses controlled doses of ultraviolet light to calm the skin and reduce itching.
However, there are some important considerations:
* It typically requires 2-3 visits per week to a phototherapy unit
* Results can take 6-8 weeks to appear
* Relief may be incomplete when used alone
* It's generally not recommended as the only treatment for PN
Since you're experiencing severe itch with your current topical steroids (Betaderm and Diprosone) and hydroxyzine is making things worse, phototherapy might be worth discussing with your dermatologist as an additional treatment option.
It's concerning that hydroxyzine is worsening your itch rather than helping. This is definitely something to bring up with your healthcare provider right away, as they may need to adjust your treatment plan or explore other options like stronger prescription topicals, injections, or newer biologic medications.
The key is finding the right combination of treatments that works for you, which often takes time and patience.
January 15
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