Skin lesion, patch, or plaque with sharp borders and a leathery texture, located on the ankle, wrist, neck, rectum, anal area, forearms, thighs, lower leg, back of the knee, and inner elbow
Exams and Tests
Your health care provider will look at your skin and ask if you have had chronic itching and scratching in the past. A skin lesion biopsy may be done to confirm the diagnosis.
The main treatment is to stop scratching the skin. You may have:
Counseling to help you realize the importance of not scratching
You may need to use these medicines on your skin:
Lotion or steroid cream on the area to calm itching and irritation
Peeling ointments containing salicylic acid on patches of thick skin
Soaps or lotions containing coal tar
You many need to use dressings that moisturize, cover, and protect the area. These may be used with or without medicated creams. They are left in place for a week or more at a time.
To control itching and stress you may need to take medicines by mouth, such as:
Steroids may be injected directly into the skin patches to reduce itching and irritation.
You may need to take antidepressants and tranquilizers if the cause of your itching is emotional.
You can control lichen simplex chronicus by controlling scratching and reducing stress. The condition may return or move to different areas on the skin.
These complications of lichen simplex chronicus can occur:
Bacterial skin infection
Permanent changes in skin color
When to Contact a Medical Professional
Call your health care provider if:
Symptoms get worse
You develop new symptoms, especially signs of skin infection such as pain, redness, drainage from the area, or fever
Habif TP. Ezcema and hand dermatitis. In: Habif TP, ed. Clinical Dermatology. 5th ed. St. Louis, MO: Elsevier Mosby; 2009:chap 3.
Weisshaar E, Fleischer Jr. AB, Bernhard JD, Cropley TG. Pruritis and dysesthesia. Bolognia JL, Jorizzo JL, Schaffer JV, et al, eds. Dermatology. 3rd ed. Philadelphia, PA: Elsevier Mosby; 2012:chap 6.
Richard J. Moskowitz, MD, dermatologist in private practice, Mineola, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.