For some people, the patch is also painful. Individuals scratch the pruritic areas of the skin and cause them to become thickened, leathery plaques. The patient had elevated level of serum immunoglobulin and negative potassium hydroxide. , reactive epidermal hyperplasia of the skin as a result of prolonged and excessive scratching. Please call me or send photos using online consult option for proper examination diagnosis and treatment. Lichen simplex chronicus on the scalp: exuberant clinical, dermoscopic, and histopathological findings. The skin sites overlap with some common brachioradial pruritus sites, suggesting that in. J. Unfortunately, lichen simplex chronicus is not a curable condition, this means that most patients would experience recurrences at different times throughout their life HOWEVER that does not mean that it cannot be treated. 2. Neurodermatitis, also called lichen simplex chronicus, is a common type of eczema, a group of skin conditions that make skin itchy and inflamed. Lichen simplex chronicus (LSC), also known as neurodermatitis, is a common chronic pruritic dermatitis characterized by lichenification of the skin caused by chronic itching and scratching. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus,. Medicated ointments. I n chronic. 9 became effective on October 1, 2023. sense of well-being. Codes. A doctor may diagnose lichen simplex chronicus. The term lichenification is classed as a secondary skin lesion wherein the characteristic features of skin thickening, hyperpigmentation, and exaggerated skin lines are noted. areas of swelling. The first sign of lichenification is hyperpigmentation, which is when the skin becomes darker than the skin around it. The nape of the neck, forearms, elbows, scrotal skin, legs, and ankles are predilected sites. People with atopic dermatitis usually experience flare-ups, where the eczema gets worse for a time. Prurigo nodularis and lichen simplex chronicus. Created for people with ongoing healthcare needs but benefits everyone. D. Type 2 Excludes. The condition most commonly affects women between the ages of 30 and 50. Male genital lichen sclerosus (MGLSc) is a chronic inflammatory skin disease responsible for male sexual dyspareunia and urological morbidity. Lichen Simplex Chronicus. 1% topical tacrolimus significantly decreased mean itch scores, itch frequency, and overall affected surface area after treatment (p<. Reduce pruritus; minimize lesions; stress reduction; lichen simplex chronicus (neurodermatitis) Papulosquamous disorder patterned on the sebum-rich areas of the. The. Increased risk of lichen simplex chronicus in people with anxiety disorder: a nationwide population-based retrospective cohort study. It often follows this pattern: It may start when something rubs, irritates, or scratches the skin, such as clothing. Subscribe to Codify by AAPC and get the code details in a flash. Apabila digaruk akan menimbulkan reaksi gatal yang semakin menjadi. 12500. 2018 Jan-Feb. “Tacrolimus ointment 0. Diagnosis is by examination. [90,95] prophylactic aciclovir should be prescribed for patients with a history of genital HSV. read more ) and the genital area (pruritus of the vulvae. Lichen simplex chronicus of the scrotal skin is also frequently encountered in clinical practice. Lichen simplex can be treated. ” J Am Acad Dermatol. nape of neck, extensor forearms and elbows, vulva and scrotum, upper medial thighs, knees, lower legs, and ankles [2-4]. 74970. . Lichen simplex chronicus is something that begins with an itch on an area of the skin and repeated skin itching thickens the area. Skin irritation from sweating or wearing tight clothing. 0 L280^00 Figure 10-(1)-13. When you scratch often, it affects your skin. 17. It. Topical corticosteroids such as Hydrocortisone 1% can be helpful. Abstract. Mild lichen simplex chronicus, see note. [QxMD MEDLINE Link]. 0 may differ. Genital lichen simplex chronicus. More than a skin disease: stress, depression, anxiety levels, and serum neurotrophins in lichen simplex chronicus. Hypertrophic LP is subacute or chronic variant of LP commonly affecting the pretibial region. Statistics. Juan CK, Chen HJ, Shen JL, Kao CH. The ICD code L280 is used to code Lichen simplex chronicus. Effective treatment of scrotal lichen simplex chronicus with 0. The more you try to ease the discomfort, the worse it gets. On the scalp, it appears as a single or multiple oval lesions. If I suffered Lichen simplex chronicus at my genital area and the area nearby, can I wear compression shorts with groin protector when I train and. Indeed, other pruritic conditions, such as prurigo nodularis and lichen simplex chronicus, may present with similar appearing lesions. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus, becoming a self-perpetuating mechanism. wrists, extensor forearms, vulva, pubis, and scrotum. As a result of constant scratching or rubbing of the skin, lichenified plaques develop mostly on accessible body areas such as the scalp, head and neck, hands, genitals [ 3 ]. Patients with lichen simplex chronicus usually describe stable pruritic plaques on one or more areas; however, thickening of the skin occurs on any location that the patient can reach, including the following: Erythema is noted most in early lesions. Neurodermitis circumscripta of the vulva (lichen. Anogenital lichen simplex chronicus is a common condition. L28. (See also. Lichen simplex chronicus may also be causative. Neurodermatitis — also known as lichen simplex chronicus — is not life-threatening or contagious. Lichen simplex chronicus (LSC) of the vulva is an acquired, persistent, severely itchy dermatosis usually located in easily reachable areas of the body like the extremities, nape of the neck, and genitalia. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Lichen simplex is more common in people who feel anxious or stressed. PMID: 20885061. On the skin, it presents. Especially dark colors can cause allergic reactions, as well as fragrances in moist toilet papers or detergents. Lichen simplex chronicus of the anogenital region should be recognized; underlying atopic dermatitis may be present, and psychological stress as well as local irritants can aggravate this. 200, Fort Wayne, IN 46804: Integrative Dermatology & Laser Spa. 10,11 However, LSC mostly involves the fore-arms, scrotum and shins, whereas scalp localization isLichen simplex chronicus is an eczematous reaction with lichenified plaques arising from repeated scratching of an area. Re-establishment of the normal skin barrier. It is also called lichen simplex chronicus. 6 Patients can present with a single lesion or have multiple sites of involvement. This gradual thickening of skin is called lichenification. References 1 Nakazato Y, Tamura N, Ohkuma A, Yoshimaru K, Shimazu K. Lichen simplex chronicus (LSC) of the vulva is an acquired, persistent, severely itchy dermatosis usually located in easily reachable areas of the body like the. 0 is a billable diagnosis code used to specify lichen simplex chronicus. Plaque Psoriasis. All subjects were instructed to apply 0. The main goals of treatment for scrotal lichen simplex are: 1. The more you scratch or rub neurodermatitis, the itchier it often becomes. Itching vagina and rectum. In prurigo nodularis,. L28. Lichen simplex chronicus can occur anywhere on the body, including the anus (see Pruritus Ani Anal Itching Itching of the anus (the opening at the end of the digestive tract where stool leaves the body) and the skin around the anus (perianal skin) is called anal itching or pruritus ani. Point of Care - Clinical decision support for Lichen Simplex Chronicus. Poster. Lichen simplex chronicus can present as a solitary lesion or as multiple lesions—usually in areas that are easy to reach. Learn more from epocrates about Lichen simplex chronicus, including symptoms, causes, differential diagnosis, and treatment optionsScalp dysesthesia and lichen simplex chronicus, conditions that can be associated, are both challenging and frustrating for the patient and the physician. It most often affects skin areas that are easier to reach, such as the upper chest, arms. stealth941 • 3 yr. Springer, Cham. Erythema may be. It is also called lichen simplex chronicus. Psychogenic parasitosis results from a fixated belief that one is infested. Lichen simplex is also known as lichen simplex chronicus and neurodermatitis. 1% tacrolimus ointment: An observational study. 1% tacrolimus ointment: an observational study. It is one among skin. Histopathological features were suggestive of chronic dermatitis. Spoke to a dermatologist at the end of August who prescribed me mometasone (apply once daily wrap clingfilm on the scrotum so it doesn't come off on my boxers) . Involvement of anogenital regions, such as the vulva, scrotum. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. 8 Malignant neoplasm of overlapping sites of male genital organs. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. What is Lichen simplex chronicus? Lichen simplex chronicus is also known as neurodermatitis. 10 , 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. LSC (circumscribed neurodermatitis) is characterized by a central lichenificated plaque thickened and often hyperpigmented, usually surrounded by lichenoid papules and, along the borders with. It also has a strong association with atopy and is said to be initiated and perpetuated by the itch-scratch-itch cycle. Lichen simplex chronicus became the favored diagnosis in this case, but venous stasis dermatitis was also among the differential possibilities. Lichenification can be further divided into primary and secondary types wherein primary lichenification signifies lichen simplex chronicus, also known. Anogenital lichen simplex chronicus is a common condition. Lotti T, Buggaiani G, Prignano F. Vulvar cancer. Dr. Lichen simplex chronicus (aka: neurodermatitis, pruritis vulvae, squamous hyperplasia, and hyperplastic dystrophy) is the end stage of an itch- scratch-itch cycle. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). 神经性皮炎的治疗重点在于控制瘙痒、防止抓挠和解决根本病因。. ” [Open Access] Maced J Med Sci. Annular lichen planus describes the development of violaceous plaques with central clearing often involving penis, scrotum, and intertriginous areas. I also had pelvic ultrasound as I. Clinically, it manifests as red to hyperpigmented to white plaques with. Lichen simplex chronicus is found on the skin in regions. Background: Lichen simplex chronicus (LSC) is characterized by localized lichenification and intense itching. , & McPhee S. 만성단순태선 및 가려움발진(慢性單純苔癬/痒疹, Lichen simplex chronicus and prurigo) L28 (1) 만성단순태선(慢性單純苔癬, Lichen simplex chronicus) L28. Lichen simplex chronicus (LSC), also known as neurodermatitis, is a common chronic pruritic dermatitis characterized by lichenification of the skin caused by. You can develop: Raw, bleeding skin or sores. Histopathological features were suggestive of. 12500. This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching. neck (sides), ankles, scalp, vulva, pubis, scrotum, and extensor forearms. Lichen simplex chronicus (LSC) or neurodermatitis, is characterized by dry and patchy areas of the skin that tend to be thick and scaly. The multifactorial nature of LSC makes management difficult and there are currently no evidence-based guidelines for treatment. J Eur Acad Dermatol Venereol 2015; 29 (7): 1448-9. While there are multiple clinical variants that may involve the skin of the whole body, the most common form affecting the vulva and vagina is called erosive lichen planus. read more ) and the genital area (pruritus of the vulvae. 2014 Apr;170. M. Neurodermatitis can occur anywhere you can reach to scratch, but is most common on the feet, ankles, hands, wrists, elbows, shoulders, neck and scalp. LSC can be a difficult condition to treat, causing frustration in both the patient and physician. Pill ID Calculators Tables CME Lichen simplex chronicus Highlights & Basics History & Exam resistant to high-potency topical and intralesional corticosteroids. Lichen simplex chronicus involves a cycle in which scratching provokes itching, which provokes more scratching. Dr Chip (M. It also has a strong association with atopy and is said to be. 6%) constituted the majority of cases. 1% topical tacrolimus significantly decreased mean itch scores, itch frequency, and overall affected surface area after treatment (p<. 1% in the treatment of scrotal lichen simplex chronicus: An open-label study. Lichen simplex chronicus of the scrotum or vulva is often caused by an itch signal initiated by sacral sensory neuron radiculopathy. Diagnosis is by examination. Lichen simplex chronicus (LSC) is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. Lichen simplex chronicus. Breaking the itch–scratch cycle 3. [ 1] Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. Lichen simplex chronicus is a localized skin thickening, often appearing over the posterior neck, extremities, scrotum, vulva, anus, and buttocks. Neurodermatitis, also known as lichen simplex chronicus, is a common chronic skin disease, affecting up to 12% of the total population, and women are more affected than men 1. Created 2007. 0 became effective on October 1, 2023. vulva and scrotum; Lichen Simplex Chronicus Diagnosis. Hudsygdommen ses hyppigere hos patienter med kroniske hudsygdomme såsom. This ultimately results in a rough, scratched (excoriated), thickened skin surface which may develop increased pigmentation (hyperpigmentation) as seen here on the front part of the foot. Extension, Davangere-577. T able 1 : Scrotal Swellings: Angioedema and Lichen simplex chronicus (LSC). Hope this is the right place. Contributed by Dr. About 1 in 8 people have neurodermatitis. Lichen simplex chronicus usually appears as a solitary patch or plaque with a round or oval pattern. Riehl Melanosis (Pigmented Contact Dermatitis) Seborrheic Dermatitis. J Eur Acad Dermatol . Topical corticosteroids such as Hydrocortisone 1% can be helpful. Contact allergic dermatitis: Serious allergens in male genital itching are clothing; underwear and its additives e. Lichen sclerosus is ten times more common in women than in men. Neurodermatitis is a non-life-threatening skin condition involving itching and scratching, usually on just one or two patches of skin. 51,986 satisfied customers. The 1 excepted case had typical LP at hair-bearing skin of the inferior labium majus and noncontiguous LS at hairless. Lichen simplex chronicus ( LSC) is thick leathery skin with exaggerated skin markings caused by sudden itching and excessive rubbing and scratching. Ætiologi og patogenese. [Histological illustration no 196. Inside of your mouth (oral mucosa ). The most commonly involved sites include the scalp and neck, groin (scrotum or vulva), forearms, shins, or ankles. Medical Care Treatment is aimed at reducing pruritus and minimizing existing lesions because rubbing and scratching cause lichen simplex chronicus. Skip to main content. Individuals scratch the pruritic areas of the skin and. For example, a thick psoriasiform plaque of lichen simplex chronicus on a limb is commonly treated with a highly potent. This website is intended for pathologists and laboratory personnel but not for patients. 4). [2,92,93,94] and usually problem free, but herpes simplex and wart reactivation do occur. L28. scrotal lichen simplex 0. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 0 may differ. The key point of therapy is to introduce an individualised therapy regimen according to the patient’s age, pre-existing diseases, medications, quality and intensity of pruritus. 2007;64(4):180-186. Scrotal dermatitis 46(15. L28. 11). Characteristically, there are well- demarcated, erythematous or hyperpigmented, thickened plaques affecting one or both sides of the vulva. A comparison of treatment of oral lichen planus with topical tacrolimus and triamcinolone acetonide ointment. News & Perspective Drugs &. Lichenification refers to thickened skin with enhanced skin markings that occurs as a result of friction from excessive scratching and rubbing. Differential diagnosis of tinea cruris includes. Lichen Simplex Chronicus (LSC) is a chronic skin disease characterized by lichenified plaques, which occur as result of constant scratching or rubbing of skin. Lichen Simplex Chronicus Itch: An Update Ju T, Vander Does A, Mohsin N, Yosipovitch G. PMID: 21220876. There is evidence to suggest that neurological abnormalities may be implicated in its aetiology and the main cause of lichen simplex chronicus is not known, but there are also concerns about its possible role in human health. Treatment is directed at the initial cause of the itch and includes education. The main cause of lichen simplex chronicus (LSC) is not known but there is evidence to suggest. Distant (a) and closer (b) views of a red scaly plaque (black oval) on the left dorsal hand proximal to the metacarpophalangeal joint of the second digit. If the appearance is not diagnostic, a potassium hydroxide wet mount is helpful. Lichenification refers to. LP is inflammatory, papulosquamous disorder affecting either or all of the skin, mucous membrane, hair, and nail. 2013;42(9):S284 0. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Lichen simplex is a chronic itchy skin disorder characterised by well demarcated, erythematous patches, and plaques of thickened leathery skin. Differential diagnostic considerations include verrucous lichen. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). Some people find that stress makes their symptoms worse. What are the signs of Lichen simplex chronicus, and how is it diagnosed? Typical signs of vulvar lichen simplex ch ronicus are mild or severe itching or burning, thickened or swelling skin, tears in the skin, and leathery skin texture of different colors. However, both of our cases were males. For some people, the patch is also painful. Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. Nomenclature Clinical variants Presentation. Other vulvovaginal disorders such as vaginitis, vulvar low-grade. Effective treatment of scrotal lichen simplex chro nicus . Treatment is directed at the initial cause of the itch and includes education. This thickened skin induces more itches in and around the affected area and spreads. L28. Micrograph of lichen simplex chronicus. L43. On the scalp, it appears as a single or multiple oval lesions. (See also. 0 L280^00Lichen simplex chronicus (LSC) is a skin disorder characterized by lichenification of the skin as a result of primary excessive scratching (). The success is moderate. ritic, it can result in subsequent development of lichen simplex chronicus (LSC), which appears as single or multiple, clearly demarcated, thickened and hyperpig-mented plaques, with scaling and alopecia due to hair breakage. Various. Created for people with ongoing healthcare needs but benefits everyone. 2 Lichen planus can appear at any age. pubis, scrotum and extensor sides of forearm. Poster abstract: No. Triamcinolone helped for little bit but it. Lichen simplex chronicus is a form of chronic localized pruritus with a secondary dermatitis, and one of the most common types of chronic itch conditions, estimated to affect more than 10% of the. Lichen simplex is usually secondary to an underlying skin. 10, 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. Figure 2: FDE: Erosion over glans. Lichen Simplex Chronicus (LSC) is a chronic skin disease characterized by lichenified plaques, which occur as result of constant scratching or. 4 Rarer presentations include PD simulating lichen simplex chronicus. It may be a complication of atopic dermatitis. open, crusted. Thickening of the skin. 神经性皮炎的症状包括：. However, it is more common in women and appears more frequently in middle-aged and older adults. Breaking the itch-scratch cycle, often with topical steroids, is the. Thus, the diagnosis of dVIN should heavily rely on histopathologic features; in diagnostically challenging cases, normal (patchy) or non-contiguous nuclear staining with heterogeneous intensity would argue against dVIN. Scalp (skin on your head usually covered with hair). Lichen Simplex Chronicus (LSC) is a skin change that is a result of chronic scratching or rubbing. If you have been rubbing or scratching your skin a lot, the patch of skin can get thicker and may look like leather. Access to this feature is available in the following products: Find-A-Code Essentials. Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. In men, it typically involves uncircumcised genitalia ie, the glans (tip or head of the penis) and the prepuce (foreskin). 17 The scrotal skin shows thickening, hypo or hyperpigmentation, sparse hair, and clearly defined margin. If you have been rubbing or scratching your skin a lot, the patch of skin can get thicker and may look like leather. Lichen sclerosus is a chronic (life-long) condition. Lichen simplex, also known as lichen simplex chronicus, is characterized by thickened and localized skin lesions that result from scratching in response to chronic itching. Neurodermatitis, also known as lichen simplex chronicus, is a localized skin disorder characterized by chronic itching and scratching that leads to skin thickening, or lichenification. 9 - other international versions of ICD-10 L43. Lichen simplex chronicus is an itchy skin condition causing thickened skin at areas that have been injured by repeated scratching and rubbing. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). Cohen AD, Vander T, Medvendovsky E, Biton A, Naimer S, Shalev R, et al. Lichen simplex chronicus (LSC), also known as circumscribed neurodermatitis, is a common skin condition seen most frequently in adults. “Tacrolimus ointment 0. Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. In this prospective, observational study, 29 men presenting with scrotal LSC were treated with 0. Aschoff R, Wozel G. It is also called lichen simplex chronicus. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus, becoming a self-perpetuating mechanism. Lichen simplex chronicus of the scrotum or vulva is often caused by an itch signal initiated by sacral sensory neuron radiculopathy. This is the American ICD-10-CM version of L28. Correct diagnosis as well as therapy of anal LSC sometimes is difficult. Methods: We performed a prospective, open-label study of adult patients with scrotal lichen simplex chronicus over a period of 6 months from December 2011 to May 2012 in the Itch Clinic at the National Skin Centre, Singapore. He was referred to his regional plastic surgery unit for excision of the scrotal plaque. The thickened skin itches, and this leads to more. Lichenification ref. Characterized by redness, itchiness, and skin peeling, it is a subject of discomfort and concern for many. Lichen simplex chronicus (also known as "Neurodermatitis") is a skin disorder characterized by chronic itching and scratching. A characteristic finding of lichen simplex chronicus that is noted on electron microscopy is frequent collagen fibers attached to and just above the lamina basalis. Lichen Simplex Chronicus Scrotum. Lichen simplex chronicus is defined as a common form of chronic neurodermatitis that presents as dry, patchy areas of skin. vulva, scrotum, and extensor region of the upper limbs. Lichen simplex is also known as neurodermatitis, lichen simplex chronicus, and neurodermatitis circumscripta. These patches are intensely pruritic, which causes the patient. It also has a strong association with atopy and is said to be initiated and perpetuated by the itch-scratch-itch cycle. LSC: Lsc is a condition caused by chronic rubbing/scratching of the skin. Lichen simplex chronicus L28. Phytophotodermatitis. Lichen simplex chronicus can occur anywhere on the body, including the anus (see Pruritus Ani Anal Itching Itching of the anus (the opening at the end of the digestive tract where stool leaves the body) and the skin around the anus (perianal skin) is called anal itching or pruritus ani. Isolated hypertrophic lesions on the scrotum are rare phenomenon. Lichen simplex chronicus One or more plaques with lichenification in an area that is easily scratched Potent topical steroids; help patient avoid scratching and picking at skinThe first sign of lichenification is hyperpigmentation, which is when the skin becomes darker than the skin around it. Levels of neurotrophins (brain-derived neurotrophic factor. Lichen simplex chronicus. Medical Care. due to back injury, herpes zoster infection (shingles) or stroke can lead to lichen simplex. 2014 Apr. Figure 2a,b: Scrotal swellings: Depicting lichen simplex chronicus. D. The first definition was introduced by Vidal, then LSC was further described by Brocq. Neck, elbow, ankles, vulva, eyelid even faces are the most. Introduction S crotal dermatitis is characterized by severe itching, erythema, scaling and lichenification of the scrotal skin. The peak of incidence is between 35 and 50 years of age, and women are more affected than men (F:M = 2:1). J Eur Acad Dermatol Venereol 2015; 29: 1448–9. Characteristically, there is well- demarcated, erythematous or hyperpigmented plates with marked thickening of the skin on one or both sides of the scrotum. Lichen simplex chronicus (LSC) is a dermatologic disorder characterized by lichenification, i. Den vedvarende manipulation af huden, skaber en kronisk inflammation i huden. Lichen simplex chronicus frequently occurs in people with anxiety disorders and nonspecific emotional stress. The 2024 edition of ICD-10-CM L43. L90. Lichen sclerosus (LS) is a chronic, inflammatory dermatologic condition most often affecting the anogenital region, although it can occur on any skin surface. Gynecologic and Obstetric Investigation. Lichen simplex chronicus (LSC) is a disorder characterized by thickened areas of skin from repeated rubbing or scratching. The 2024 edition of ICD-10-CM L90. Although LSC may be found on any body surface, the typical sites are the forearms, the nuchal area, the scrotum, and the shins. Lichen simplex is usually secondary to an underlying skin. The therapy of lichen simplex chronicus is to be applied as a long-term strategy! It should be made clear that this is an eminently chronic disease! If necessary, a psychotherapist should be involved in the therapy at an early stage! Antihistamines can be used against the itching. Damage to the nerves, e. The nerve endings in the affected area are particularly irritable and trigger a cycle of itching. Lichen Simplex Chronicus. Absence of underlying dermatologic condition. It may cause itching, burning, and/or thickened skin. Pubic lice (or crabs). 0 - Lichen simplex chronicus. Excoriations (related to eczema, lichen simplex chronicus)Prurigo nodularis (PN) is a chronic disorder of the skin that is classically seen as multiple, firm, flesh to pink colored nodules commonly located on the extensor surfaces of the extremities. Treating any underlying dermatosisor predisposing condition 4. Lichen simplex chronicus (LSC) of the anal region is characterized by massive pruritus, constant itching and a chronic course. D. We conclude that topical tacrolimus can be used as an effective, long-lasting therapeutic modality in treating LSC, especially in sensitive skin areas such as the face. Introduction. Lichenification and lichen simplex chronicus. Epub 2014 Mar 25. pubis, scrotum and extensor sides of forearm. 8%), whereas in females. Basic skin lesions divide into primary, secondary, and special types. Lichen simplex is more common in people who feel anxious or stressed. Lichen simplex can affect any age group but is. Lichen simplex of scrotum. Diagnosis is by examination. It seems to me that you have two separate conditions: lichen simplex chronicus and something else: probably seborrheic keratoses.