The group of dermatoses variously considered under the names neurodermatitis, atopic dermatitis and generalized or disseminated neurodermatitis are among the most resistant therapeutic problems in dermatologic practice. The remedies which have been tried with more or less indifferent results include symptomatic management, allergic studies and desensitization, actinotherapy, dietotherapy and oral and parenteral administration of many medicaments. With any of these methods treatment lasts for months, even years; yet some patients recover without any special treatment. Most of the patients with the severe conditions require psychiatric attention—perhaps all do—because of an underlying depression and emotional tension. It does not follow that all patients with neurodermatitis, the term preferred in this communication, need psychiatric hospitalization. Under the present status psychiatrists have been inclined to disregard cutaneous disturbances until they become a major distress to the patient and interfere with psychiatric care. Then a dermatologist is invited for the service of his specialty.
TILLIM SJ, SQUIRES MT. NEURODERMATITIS TREATED WITH HYPOGLYCEMIC REACTIONS. Arch Derm Syphilol. 1941;43(6):980–991. doi:10.1001/archderm.1941.01490240060008
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