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Болезнь носит неврогенно-аллергическую природу и связана с работой нервной и иммунной систем [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n\n**Типичные зоны поражения**: у детей — лицо, шея, разгибательные поверхности рук и ног; у подростков и взрослых — сгибы локтей, подколенные ямки, шея, запястья, область вокруг глаз, половые органы [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). При длительном течении заболевание может переходить в диффузную форму, охватывая большие участки тела [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/).\n\n\n\n## Причины\nНейродермит — мультифакторное заболевание [2](https://simplehealth.clinic/diseases/nejrodermit/)[6](https://polyclin.ru/articles/neyrodermit/). Некоторые причины: \n* **Генетическая предрасположенность** — склонность к нейродермиту часто передаётся по наследству [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/)[3](https://www.mos-clinics.ru/diseases/neyrodermit/). \n* **Аллергены** — пыльца, шерсть, пыль, плесень, бытовая химия, продукты [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Пищевые реакции** — молоко, яйца, рыба, шоколад, орехи, цитрусовые [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Инфекции и хронические воспалительные заболевания** [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Нарушения работы ЖКТ** (дисбактериоз, гастрит, панкреатит) [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Гормональные изменения** (беременность, пубертат, ПМС) [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/).\n\n## Симптомы\nНекоторые симптомы нейродермита: \n* **Сильный зуд**, который часто усиливается ночью или при стрессе [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/). \n* **Покраснение и воспаление кожи** — у взрослых чаще встречается на лице, шее, локтях, коленях, запястьях, у детей — на щёках, руках, ногах [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/). \n* **Сухость и шелушение** — поражённая кожа часто выглядит сухой, шероховатой и склонной к шелушению [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/). \n* **Появление плотных, утолщённых участков кожи** — при частом расчёсывании кожа на поражённых местах может стать толще и плотнее, иногда образуются участки с грубой текстурой (лихенификация) [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/). \n* **Появление высыпаний** — иногда появляются небольшие узелки или пузырьки, которые могут лопаться и образовывать корочки [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/). \n* **Трещины и ранки** — при частом расчёсывании могут появляться трещины и ранки, что повышает риск присоединения инфекции [1](https://www.acriol.pro/stati/udalenie-nejrodermita-lazerom/).\n\n## Диагностика\nДиагноз нейродермита ставит дерматолог [4](https://www.medicina.ru/patsientam/zabolevanija/nejrodermit/)[5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). Для подтверждения диагноза и исключения других кожных заболеваний могут назначаться: \n* **Общий и биохимический анализ крови** — для оценки воспаления и состояния иммунной системы [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Определение уровня иммуноглобулина E (IgE)** — часто повышен при атопических заболеваниях [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Аллергопробы** — выявление индивидуальных аллергенов [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/). \n* **Кожная биопсия** — в сложных случаях [5](https://alldoctors.moscow/articles/spravochnik-zabolevaniy/neyrodermit/).\n\n## Лечение\nЛечение нейродермита направлено на снижение симптомов, управление обострениями и поддержание длительной ремиссии [2](https://simplehealth.clinic/diseases/nejrodermit/). 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