Lichen simplex chronicus

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Lichen simplex chronicus

Lichen simplex chronicus on the ankle

Lichen simplex chronicus on the back

The primary treatment is to stop scratching the skin. This may include counseling to become aware of the importance of not scratching, stress management, or behavior modification.

The itching and inflammation may be treated with a lotion or steroid cream applied to the affected area of the skin. Peeling ointments, such as those containing salicylic acid, may be used on thickened lesions. Soaps or lotions containing coal tar may be recommended.

Dressings that cover and protect the area may be used with or without topical medications. They are left in place for a week or more at a time.

Antihistamines, sedatives, or tranquilizers may be needed to reduce itching and to reduce stress. Steroids may be injected directly into lesions to reduce itching and inflammation.

Antidepressants and tranquilizers may be needed in those patients who have an emotional component to their lichen simplex chronicus.

Lichen simplex chronicus may be controlled by reducing stress and scratching. It may return or change sites.

• Secondary bacterial skin infection
• Permanent scar formation
• Permanent changes in skin color

Call your health care provider if symptoms worsen or new symptoms develop, especially signs of skin infection such as pain, redness or drainage from the lesion, or fever.

Review Date: 10/16/2006
Reviewed By: Michael S. Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.