The skin is very itchy, becoming more itchy when scratched, and also peeling.

Apr 07, 2023 Source: Cainiu Health
Dr. Liu Wan
Introduction
Itchy skin that gets worse with scratching and is accompanied by peeling may result from either physiological or pathological factors, such as skin allergies, skin infections, or neurodermatitis. In addition, conditions like liver disease, kidney disease, and diabetes can also cause symptoms including itching and skin peeling. It's important to note that different underlying causes require different treatments.

Skin itching that worsens with scratching and is accompanied by peeling may be caused by either physiological or pathological factors, such as skin allergy, skin infection, or neurodermatitis. A detailed analysis is as follows:

1. Physiological Factors

This may result from dry climate, excessive bathing, or overuse of skincare products. Generally, no specific treatment is required. It's important to keep the skin moisturized by using moisturizers and emollients, while avoiding excessive bathing and overuse of skincare products.

2. Pathological Factors

1) Skin Allergy

This may be triggered by allergic reactions to certain foods, medications, cosmetics, pollen, etc. Treatment involves identifying the allergen and, if necessary, using appropriate antihistamines or topical medications. Maintaining proper local hygiene and skin care is also essential.

2) Skin Infection

Infections caused by bacteria, fungi, or viruses—such as eczema, urticaria, or dermatitis—may lead to these symptoms. As directed by a physician, topical corticosteroid creams such as hydrocortisone cream, compound flumetasone ointment, or pimecrolimus cream may be applied.

3) Neurodermatitis

This condition may arise due to nervous system abnormalities leading to skin lesions, such as pruritus or drug-induced dermatitis. Psychological interventions like relaxation training and cognitive behavioral therapy may be beneficial. For severe itching, oral antihistamines such as cetirizine tablets, loratadine tablets, or ebastine tablets should be taken under medical supervision to help relieve symptoms.

Besides the above, systemic conditions such as liver disease, kidney disease, and diabetes may also cause skin itching and peeling. It's important to note that different underlying causes require different treatments; therefore, timely medical consultation is recommended for accurate diagnosis and proper management by a qualified healthcare provider.

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