Which therapy is better for prurigo nodularis?

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

I am sorry to hear that you are struggling with prurigo nodularis. Both cryotherapy and phototherapy are effective treatments. In doing cryotherapy, the response is faster, and it can flatten the lesions, and the symptoms are reduced. But they are not good for widespread lesions, cannot stop lesions from coming, and painful side effects like blistering, scarring, or depigmentation can be experienced. Phototherapy is good for large numbers of lesions and can prevent new ones. But phototherapy is long-term, safety is debatable, and it requires multiple sessions. The other treatment options available are topical steroids, intralesional steroids (three weekly injections over individual lesions), excimer laser (considered safe as compared to phototherapy), and biologic therapy (if resistant and recalcitrant disease).

I hope this helps.

Thank you, and take care.