6 common signs of prurigo nodularis

6 common signs of prurigo nodularis

Prurigo nodularis is a chronic inflammatory skin condition that causes painful, firm, and itchy bumps on the skin called “nodules”. The bumps generally develop in easy-to-scratch areas such as the arms, legs, back, and abdomen. They are accompanied by an uncontrollable urge to scratch, leading to more inflammation. This article explores some of the common signs of prurigo nodularis to help in recognizing the condition and seeking medical intervention in time.

Itchy skin
Skin can begin to feel itchy and irritated before the bumps appear. This symptom may be long-lasting or limited to short episodes. The area where the itching develops may vary; for instance, for some, it may be restricted to a certain body part, while for others, it may affect most of their skin.

Burning or stinging sensation
Some may even experience a stinging or burning sensation instead of itching as a sign of prurigo nodularis. On rare occasions, people have also said that they have experienced a feeling akin to bugs crawling on their skin.

Itchy bumps (nodules)
As the common signs of prurigo nodularis lead to repeated scratching and rubbing, raised, itchy nodules start to develop. These generally appear on both sides of the body about 6 weeks after the itching or burning sensation sets in. These bumps may be different for everyone, but generally have the following characteristics:

Shape: The bumps may cause the appearance of dome-shaped lesions.

Size: The lesions could be 0.5 to 2 centimeters in diameter.

Texture: The bumps are generally firm and may appear above, below, or level with the surface of the skin.

Color: The rash may match the skin tone or be pink, red, brown, or black. Once healed, the lesion may also leave behind a skin discoloration.

Distribution: One can have anywhere between a few to hundreds of lesions across the body. These may also appear asymmetrically.

Location: The lesions may appear anywhere across the body. However, they most frequently appear on the scalp, arms, legs, upper back, and abdomen.

Changes in the skin
Itching, scratching, and the appearance of bumps may also change the texture of the skin. Scratching until the bumps break open and bleed or become painful can lead to the appearance of dark spots. The skin may also feel pebbly, hard, or thick.

Appearance of spots
When left untreated, the itching and bumps can last for several months or years. Over time, the bumps change to flat dark spots that may be similar to the natural skin color or lighter.

Changes in nails and hair
In rare cases, as the condition progresses, it may affect the nails, causing pitting, ridges, or thickening. Additionally, nodules on the scalp may also lead to localized hair loss.

As the condition worsens, it may significantly affect the quality of life. For many, the following complications may also develop:

Secondary infections: Although uncommon, constant itching and scratching could lead to other infections. Some common signs of an infection include swelling, discoloration, a warm or hot feeling, pus, pain, or even a fever. If any of these signs begin to develop, it is important to contact a dermatologist (or primary care doctor) immediately and get examined.

Sleep disturbance: The persistent itching associated with this condition may also lead to a disturbed sleep schedule. For some, the itching may worsen at night, causing difficulties in falling or staying asleep. This may also impact their energy levels the next day.

Social isolation: Some people may feel conscious about the appearance of their skin. This may cause them to remove themselves from social events and gatherings, leading to isolation. This can have a significant impact on one’s mental health. So, such stress and physical discomfort are known to cause mental health issues when dealing with this skin condition. According to a study published in the Journal of Clinical and Aesthetic Dermatology, almost half the people diagnosed with Prurigo Nodularis experienced some kind of mental health issue. Of these, the most common were anxiety and depression.

Understanding the condition
Prurigo nodularis is not contagious. The condition may be a result of a nervous or immune system response in the skin. For some people, it may also be a side effect of treatments like chemotherapy. As the underlying cause of this condition is unknown, there is no clear way to prevent it. However, risk factors associated with this condition include:

Age: This condition is more common among people above the age of 50. Symptoms generally start to appear between the ages of 50 and 65.

Other skin conditions: About half of all the people diagnosed with prurigo nodularis have a history of atopic dermatitis. Those with a medical history of psoriasis and other skin conditions may also be at an increased risk of developing prurigo nodularis.

Underlying diseases: Underlying conditions like kidney failure, HIV, hepatitis C, certain bacterial and parasitic infections, thyroid disease, lymphoma, and liver disease may also trigger prurigo nodularis.

Further, triggers of this condition most commonly include repeated scratching and picking. Factors like heat, clothing, sweat, or stress also trigger skin irritation.

Lifestyle changes
To manage the symptoms, the most important change to make is to avoid scratching nodules. Other changes that may help are:

– Switching to mild soaps while bathing
– Applying a moisturizer several times a day
– Using lotions and ointments to calm skin and reduce itchiness
– Keeping fingernails trimmed
– Wearing gloves or mittens while sleeping to avoid unintentional scratching
– Limiting sun exposure or wearing sunscreen with at least SPF 30 while outdoors
– Avoiding hot environments and activities that may cause sweating

If one notices any signs, they should get examined by a doctor and seek a diagnosis as soon as possible, as prurigo nodularis can be managed with timely treatment. Additionally, identifying and avoiding the triggers can prevent the condition from worsening.

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Foods to Eat and Avoid for Optimal Kidney Health

Kidneys help filter waste from the blood and dispose of it off the body via urine. They also help balance the electrolyte and fluid levels in the body. But, conditions like high blood pressure and diabetes may intervene with their ability to work as required. Furthermore, damage to the kidney might also result in chronic kidney disease. Hence making changes in your meal plan is a vital aspect of treatment. You can prevent damage to these organs by following a kidney-healthy meal plan. Below, we will address some foods to eat and avoid for better kidney health. Foods to eat Cauliflower Cauliflower is a nutritious vegetable. It's an excellent source of folate, Vitamins B, K, and C. It's rich in anti-inflammatory compounds like indoles, a fiber source. In addition, you can use mashed cauliflower as a replacement for potatoes. For example, a cup of cooked cauliflower has 40 mg of phosphorous, 176 mg of potassium, and 19 mg of sodium. Sweet potatoes They are relatively similar to white potatoes but have more fiber content, resulting in them breaking down more gradually. Hence, you will experience a less spike in insulin levels. Sweet potatoes are also rich in vitamins and minerals like potassium that help balance the sodium levels in the body and lower their impact on the kidneys. But, since sweet potatoes have a high potassium content, people on dialysis or those with CKD should curtail the intake of this vegetable. Red bell peppers They are rich in flavor and low in potassium, but that is not the sole reason they are considered a hit among people with kidney disease. Red bell peppers have Vitamin C and A sources and are also high in fiber, folic acid, and B6 vitamin content. In addition, red bell peppers are also suitable because they have lycopene, an antioxidant that shields against some cancers. You can eat them raw with a dip, mix them into your salad, or enjoy them as an appetizer. Some people also like roasting bell peppers and using them as a topping for lettuce salads or sandwiches. Olive oil It contains healthy fat and has anti-inflammatory properties. Since it is monosaturated fat, it stays stable even at higher temperatures as you cook. Thus, switching to extra virgin olive oil can give you more antioxidants while you still enjoy your favorite dish. Green vegetables Leafy veggies like spinach, kale, romaine, arugula, and cabbage are hydrating, low in calories, and have high antioxidant and vitamin content. If you wish to be cautious about your mineral levels, you must opt for cabbage and arugula, which are nutrient-rich and lower in sodium, potassium, phosphorous, and calcium. In addition, kale and spinach have a high potassium content, which is ok for people seeking to improve their kidney health, but best for those already dealing with chronic kidney disease. Blueberries They are called superfoods because they are rich in antioxidants and are a low-calorie Vitamin-C and fiber source. You can stock them in abundance from your local grocery store or farmer’s market. You can also shop for frozen berries in the off-season and enjoy healthy smoothies. People with kidney diseases can also eat other berries like raspberries, cranberries, and strawberries. Apples Apples are low in potassium and rich in fiber when you eat them with peel. They also have a natural anti-inflammatory effect and are ideal for your kidneys. Foods to avoid Soda Soda has zero nutritional benefits and instead has high sugar content. It only adds to the extra calories. Some studies link high soda consumption to conditions like kidney disease, osteoporosis, dental problems, and metabolic syndrome. If you opt for their lower calorie alternative like coke zero, even that will do you no good, as it has no nutritional value and contains artificial sweeteners and additives. Hence, you must omit soda and opt for healthy beverages like water. If you do not enjoy plain water, add a slice or two of fresh fruit for added flavor. Avocados Avocadoes are known for their many nutritious qualities. They are rich in antioxidants, fiber, and heart-healthy fats. Even though consuming avocado is often considered healthy, people with kidney disease must avoid it as avocados have a high potassium content. An average-sized avocado has about 690 mg of potassium. If you love the taste and do not want to eliminate it, you can reduce the portion size to only 1/4th of the avocado. In addition, it will lower potassium intake.  Salty foods Sodium or salt is one of the most prevalent inclusions in foods you consume daily. However, their density is higher in processed foods. Salt results in water retention and may cause blood pressure, lung, and heart disease. Healthy kidneys work towards maintaining the correct fluid balance in the body. So, if your kidneys do not function as desired, the fluid balance may be disturbed. Hence, you must curtail sodium-rich foods like processed foods, packaged items, and soy sauce. When cooking meals at home, opt for low-sodium alternatives. You can replace salt with spices and herbs and keep the salt shaker off the table. Dairy Dairy products like yogurt, cheese, ice cream, and milk are rich in protein, calcium, and other vital nutrients. They also contain potassium and phosphorous. People with stage three kidney disease might want to curtail their potassium, phosphorous, and protein intake, which is high in dairy. So, you can instead reach out for dairy alternatives like rice, soy, or almond milk as they have lower potassium, phosphorous, and protein content than cow’s milk. Bananas Though naturally low in sodium, bananas' potassium content is significantly high. So, to ensure your kidney disease does not aggravate, monitor your potassium intake, and it might be challenging if the banana is your staple. Conclusion Whatever you eat or drink will affect your health regardless of any health issue. Therefore, maintaining a healthy weight and following a balanced meal plan are prerequisites to staying fit and controlling blood sugar levels. A kidney-healthy meal plan is less about eliminating certain foods but following portion control and finding a balance of proteins, carbohydrates, and fats.

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Avoid these 10 foods for better eye health

Lifestyle and daily habits can have a huge impact on eye health. In fact, there is a close connection between what one eats and the health of their eyes. Certain foods, like green leafy vegetables, fatty fish like salmon and mackerel, nuts, and carrots, are great for eyesight. On the other hand, a few foods can contribute to poor eye health and worsen existing vision-related issues, making it important to limit or avoid them. French fries The intake of fried foods, in general, is bad for the body in the long run. This is why one is likely to find fried foods often included on all kinds of “worst foods” lists. When it comes to eye health, snacks like French fries or deep-fried chicken contain trans fats that accelerate age-related eye diseases such as macular degeneration. Multiple studies have linked high trans fat intake with the development of this condition in those over 50. In fact, such studies found that even when healthy, anti-inflammatory foods rich in omega-3 fatty acids were added to daily meals containing fried snacks, the benefits of those healthy fats were overshadowed by the prevalence of fried foods. Sunflower oil Several studies have found a link between linoleic acid, a type of unsaturated fats, and retinopathy and AMD. Some cooking oils that are rich in linoleic acid are corn oil, safflower oil, soybean oil, sesame oil, and sunflower oil. Processed foods Hyper-processed foods often come in packages or covers serving as quick meals. However, packaged cookies, chips, and candy are among the worst foods one can choose for their health. These foods contain a large amount of chemical preservatives to prolong their shelf life. Many studies have found the negative impact such preservatives have on the eye health. Additionally, packaged cookies also contain unhealthy fats and inflammatory ingredients that can cause a range of cardiovascular and digestive issues apart from eye-related issues. Nevertheless, the worst thing about these foods is that they contain little to zero nutritional value. Further, packaged foods like chips also contain high amounts of sodium, which can elevate blood pressure in the long run. High blood pressure can damage the blood vessels around the eyes, contributing to vision loss or blurry vision, among other health issues. Sugary drinks Sugar has inflammatory properties, meaning that excessive intake of food containing sugar can harm overall health. Further, when one drinks too many sugary drinks on a daily basis, they risk raising their blood sugar beyond normal levels. This can cause damage to the retina in the eye. Additionally, if someone already has eye- or vision-related issues, it is wise to limit or, if possible, cut sugar out entirely from their daily meals. Doing so ensures that they do not increase the risk of associated health issues like diabetic retinopathy and AMD. Pickles Salt and other sodium-rich foods tend to raise blood pressure, increasing the risk of hypertension. Pickles are one of the foods rich in sodium, which has been linked to an increased risk of cataracts. This is because sodium-induced hypertension causes damage to the blood vessels in and around the retina. This kind of retinal vascular damage is known as hypertensive retinopathy, which can lead to vision impairment. So, it is important to keep sodium intake in check to lower the risk of such health concerns. Apart from pickles, some other high-sodium foods to avoid for better eye health are deli meats and canned foods. Here, checking the food label is a key step to avoid excessively salty foods. Pasta Simple carbohydrates, found in foods like pasta, rice, and white bread, can lead to health issues in the long run. Such foods can be easily digested and absorbed, causing a rapid spike in blood sugar. This can cause issues such as hyperglycemia (or high blood sugar) and, in the long term, lead to eye-related issues like diabetic retinopathy, AMD, and cataracts. Additionally, foods loaded with simple carbohydrates can increase cholesterol and the risk of heart disease. Shellfish Shellfish and some kinds of fish contain traces of mercury, which, in the long run, has the potential to cause eye damage. The groups that should avoid shellfish at all costs are pregnant women (especially if they are nursing) and children. Shellfish has its fair share of health benefits, but its mercury content makes it one of the top foods to avoid for better eye health. Processed meats The high amount of sodium in processed meat-based foods like bacon, hot dogs, and deli meats can contribute to the development of hypertensive retinopathy. Additionally, they can also cause issues such as choroidopathy, a condition referring to a steady buildup of fluid under the retina. Apart from these health issues, processed meat is associated with a higher risk of neuropathy in which the blood flow is obstructed. So, one must limit processed meat in their daily meals as much as possible. Margarine Margarine contains trans fats, which can raise cholesterol levels and, by extension, the risk of developing eye problems and cardiovascular illnesses. A good way to spot trans-fat-heavy margarine is by checking its structure. The more solid a given pack of margarine, the greater the percentage of trans fat it contains. Coffee Caffeine has a host of properties that can damage the eyes in the long run. For one, it has inflammatory properties that can negatively affect the blood vessels in and around the eyes. Here, excessive coffee intake increases the blood pressure inside the eye (a condition known as increased intraocular pressure) and ocular hypertension, both of which can contribute to vision loss. One should consult a doctor or a registered nutritionist before making drastic changes to their meal plans. Professional guidance here can help one make sustainable changes and prevent nutritional deficiencies based on their specific needs.

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