I am on Nemluvio shots once a month. It has not bothered me at all.
March 25
Are there dermatologists in Northern Michigan who specialize in treating prurigo nodularis?
While I don't have specific dermatologist recommendations for Northern Michigan, finding a specialist experienced with PN can make a real difference. Some dermatologists are more familiar with PN than others, and it's completely Show Full Answer
Are there dermatologists in Northern Michigan who specialize in treating prurigo nodularis?
While I don't have specific dermatologist recommendations for Northern Michigan, finding a specialist experienced with PN can make a real difference. Some dermatologists are more familiar with PN than others, and it's completely reasonable to seek out someone with more expertise.
If topical steroids seem to be worsening your symptoms, that's definitely worth discussing with a new provider. Sometimes PN nodules become so thick that topical medications can't penetrate effectively, which is why many people need systemic (whole-body) treatments rather than just topical ones.
Regarding your concerns about Dupixent and nemolizumab: It's understandable to worry about complications. Dupixent is currently the only FDA-approved medication specifically for PN, and clinical studies showed it helped 45.3% of people achieve complete remission after four months, with dramatic itch reduction in others. Serious side effects were not reported in the studies.
When you have widespread lesions like you describe, systemic treatments are often more effective than topicals or removal procedures. A dermatologist experienced with PN can discuss the actual risks versus benefits based on your specific situation.
Don't hesitate to get a second or third opinion until you find someone who listens to your concerns and offers appropriate treatment options for the severity of your condition.
March 24
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