Non-Biologics in Treatment and Management of Prurigo Nodularis

James Del Rosso (00:07):

So when we think about the role of non-biologic therapy or even phototherapy for patients with prurigo nodularis, we need to be thinking about not only that they have prurigo nodules, but what's going on with the rest of the patient. So if those patients are atopic, so they'll tend to have dry skin, they'll tend to have eczematous skin. You might be utilizing different topical therapies and good cleansers and moisturizers to treat the rest of their skin that's affecting their itching associated with their atopic dermatitis.

(00:44):

In addition to what you're doing to treat the nodules, it may also involve treating certain nodules that are thicker with intralesional corticosteroid therapy in some cases to give them a more immediate improvement or to treat some persistent lesions. Also, phototherapy can be very helpful for diffuse pruritus, and it may be good in patients that can't utilize certain other medications or have difficulty getting access or have had certain side effects from certain treatments. So it's nice to have a menu of options, just like going to a restaurant, you can choose from column A, column B, column C, and certainly don't miss the dessert choices exactly what you would like to get.