This blog post seems a nonsense on the back of my fears about steroids, but having nodular prurigo can be infuriating. The little itchy, hard lumps itch so much you just have to tear off the top, and they bleed like an erupting volcano and I mean bleed, for AGES!
All this means that they can get infected and take months and months to heal. You just get used to them being there, but I have managed to find a few ways of getting rid of them.
One particularly nasty line of five nodules which had taken up residence on my neck finally healed, well almost, after steroid application for just over a month. I say almost because the largest nodule, the leader in that little procession of itchy, scabby bumps is still there, but slowly receding.
This was the advice from my dermatologist. I use Elocon steroid and he advised applying a tiny amount onto the nodule twice a day for two weeks. Then once a day for two weeks, and then slowly tail off the use. I’m now putting a tiny bit on this remaining nodule and it’s almost almost gone. It took about six weeks so perseverance is the key. When it seems like the steroids aren’t working keep on trying. It’s not an instant heal like with normal eczema.
Am I just fueling my steroid addiction? Who knows. But right now I’m not ready to face that particular kind of evil – steroid withdrawal is not something I think I could even cope with right now.
But I’ve discovered a new treatment. I didn’t use these on my neck because I thought they might be a little visible but these little strips do seem to help heal the nodules.
But beware! If you’ve never used topical steroids before, you may like to read my previous blog post about topical steroid addiction and withdrawal. It does not make for pleasant reading so be very careful.
What are dermo steroid strips?
Show this picture to your doctor or dermatologist as it did take me over six months to actually track these down after vague suggestion from my dermatologist who just told me to go and get them from the chemists who had no idea what they were and my GP had no idea either. You have to be a detective.
And you’ll need a pair of scissors and a bit of patience to apply them each morning.
It’s basically a strip of very thin clear sticky steroid covered plaster and this is what you do.
- You pull out some of the strip, cut off a strip, a bit wider than the nodule.
- Cut the plaster into a circle shape so that it will easily cover the nodule with a few mm all around.
- Peel off the sticky clear circle and stick it over your nodular prurigo scab
- You should apply to clean skin and it does stick really well.
- Leave on for about 12 hours, and it does last that long.
- I have left them on for longer when I just forgot and this does seem to be fine but the plaster can smell a bit when you remove it.
- Thoroughly wash your hands and the scab when you remove the plaster and reapply a new one if needed.
It does seem to really help with healing not least because the plaster protects it from being scratched.
You will need to get these on prescription but they’re worth a try. I will try to take some before and afters of a nasty NP break out to show you how much they aid healing. I’d say about 3 days of applying them speeds up healing by weeks for me.