

This is why after a warm shower skin lesions of lymphoma can temporarily appear redder and may itch more. Use of hot compresses, or being in hot environments, tends to make itching worse by increasing blood flow, inflammation, and sweat, which can be an irritant to skin.

Patient with cutaneous lymphoma should consider use of cold compresses as well as wet wraps to reduce itch caused by their skin disease and dry skin, another common problem. Using cool water may provide an even greater advantage for itch relief but as large parts of the body will be damp this may be more uncomfortable. They are proven effective in conditions with dry skin and itching, like eczema. long pajamas) soaked first with warm water, often covered by another layer of dry clothing. Wet wraps are different from cold compresses, as their goal is to increase the water content of skin. The cold compress should be placed on the areas where the itch is most bothersome and can be rotated around to different parts of the body. Interestingly, cooling agents, such as menthol (found in several over the counter creams like Sarna), can also decrease itching. It can also help with certain types of pain, such as a sprained ankle or knee, where inflammation and swelling is contributing to pain. In general, a cold compress should not be left on for more than 20 minutes at a time to prevent the development of frostbite.Ĭold compresses are best used to suppress sensations of itch, a common problem in patients with cutaneous lymphoma. A cold compress can be made from a homemade plastic bag filled with water and ice, a frozen bag of peas, an instant cold pack, or a cloth soaked with cold water. Temperature can also indirectly affect the sensation of pain and itch by affecting blood flow, which affects local inflammation and swelling.Ĭold compresses can take on many forms. While a lot remains to be understood about how our nerves and brain processes this information, we know that certain sensations, such as pain and itch, can be directly decreased with the use of hot or cold temperatures. Our nerves are responsible for transmitting several sensations, including pain, itch, temperature, and pressure among others. This can help relieve some itching by allowing the cream adequate time to penetrate the skin and also provides some cooling of the affected area as the water evaporates.Īllister Benjamin Chase, MSN, FNP-BC, AOCNP In a nutshell, wet wrapping is the process of creating a moisture barrier on the skin and then dressing the affected areas in damp wraps, followed by dry wraps. That is a great question! These are actually very different therapies.

Additionally, itching related to conditions such as eczema, mycosis fungoides or psoriasis may also have some temporary benefit as well. Patients suffering from itching related to more obvious sources such as bug bites and sunburns often find relief from cold compresses. They are most reasonably employed when the itch is localized and not spread over large areas of the body. When applied in a conscientious manner, cold compresses are generally fairly safe to use for a variety of itch-provoking conditions. I also recommend that it not be applied for longer than 20 minutes at a time and allow at least 1 hour in between applications if a repeat is needed. It is important to protect the skin from direct contact with the compress and use a cloth barrier (like a towel) between the two. As the effect is generally only temporary, I caution against the frequent or prolonged use of cold compresses as a mainstay of a management regimen. The cold temperature offers a numbing effect on the targeted area and helps to decrease related swelling. Upcoming Events for Medical ProfessionalsĬold compresses can occasionally provide mild relief from bothersome itching and the inflammation that often accompanies it.Primary Cutaneous Anaplastic Large Cell Lymphoma (PCALCL).Primary Cutaneous B-Cell Lymphoma (CBCL).Folliculotropic Mycosis Fungoides (FMF).
