Lichen Simplex Chronicus

Lichen simplex chronicus is a chronic inflammation of the skin. It is identified by small, round itchy spots as a result of repeated scratching and rubbing. It frequently affects adults, and may outcome in one, or many itchy patches. Lichen Simplex Chronicus is observed in people with eczema. Though eczema can affect the whole body, the eruption of LSC in usually found in one area. The nerve endings in this area are cantankerous and trigger an itch-scratch-itch cycle.

People having lichen simplex chronicus have skin which is dry and easily irritated by soap, detergents, and rough wool clothing. Hot and cold weather often enhance lichen simplex chronicus. It is frequent in children, who chronically scratch insect bites and other areas. Most often lichen simplex chronicus is noticed around the ankles, shins and the back or side of the neck.

The forearms may also be expansively involved. Involvement of the anal-genital areas, specially on the vulva, scrotum and peri-anal areas is also possible. The plaques produced can be either single or in multiple sites.

Lichen simplex chronicus is a painless disorder. It is not associated to cancer and it does not involve internal organs. Lichen simplex chronicus can happen in people of any age, of any race, and of either sex. Though, it is more common in females than in males, and appears more frequently in middle-aged and older adults. The complexion of scratch marks and the leathery skin patches can be found anywhere on the body. It can also be common in mentally witted children who have chronic repetitive movements. A extended lichen simplex chronicus can result in brown-colored pigmentation at the site of irritation.

The goal of treatment is to stop the scratch cycle. Strong topical steroids are usually required. Occlusion is ocassionally necessary to try to reduce the itching and to thin out the excessively thickened skin. The response may normally take many weeks. Oral antihistamines which are sedating may be of benefit at bedtime. Antidepressants and tranquilizers may be required in those patients who have an emotional component to their lichen simplex chronicus.

Causes of Lichen simplex chronicus

The cause is unknown. It is the outcome of a localized defect of the skin. This paucity causes the skin to itch that results in scratching and rubbing, which leads to the rash know as lichen simplex chronicus. Lichen Simplex Chronicus is observed in people with eczema. Though eczema can affect the entire body, the eruption of LSC in usually present in one area. The nerve endings in this area are irritable and trigger an itch-scratch-itch cycle. Stress and anxiety can trigger itching, too. Allergies don't seem to be a factor.

Common causes and risk factors of Lichen simplex chronicus:

Atopic dermatitis.
Nervousness, anxiety, depression, and other psychologic disorders.
Psychological factors.
Long-term exposure to street traffic.
Stress and anxiety.

Signs and Symptoms of Lichen simplex chronicus

The primary symptom of neurodermatitis is itchy skin - usual on the neck, wrist, forearm, thigh or ankle. Symptoms are chronic itching that is often accompanied by nervous tension. The complexion of scratch marks and the leathery skin patches can be present anywhere on the body. A prolonged lichen simplex chronicus can consequent in brown-colored pigmentation at the site of irritation.

Sign and symptoms may include the following :

Chronic itching.
Skin lesion , patch, or plaque over the affected area.
Scratch marks and the leathery skin patches.
The affected patches of skin often have a leathery or scaly texture.

Treatment for Lichen simplex chronicus

The primary treatment is to stop scratching the skin. Use a bath oil or Aveeno powder in the tub. Do not take more than one bath or shower a day. Use lukewarm water, not hot. Hot water dries out the skin. When toweling dry don't rub. Blot the skin so there is till some water left on the skin. Then apply a moisturizer to all of the skin such as Vaseline, Lubriderm, or Moisturel. Antidepressants and tranquilizers may be required in those patients who have an emotional component to their lichen simplex chronicus.

Treatment may include:

The injections of corticosteroids may be given into the affected area to reduce itching and inflammation.
Corticosteroids creams may also be used over the affected area.
Sedatives and tranquilizers are very effective to get relief from stress.
Oral antianxiety medications may be used for the treatment of lichen simplex chronicus.
Topical antibiotics like bacitracin help prevent infection.

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