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Lichen simplex chronicus (LSC) is thick leathery skin with exaggerated skin markings caused by sudden itching and excessive rubbing and scratching. [1] It generally results in small bumps, patches, scratch marks and scale. [1] It typically affects the neck, scalp, upper eyelids, ears, palms, soles, ankles, wrists, genital areas and bottom. [1]
Neurodermatitis, also called lichen simplex chronicus, is an intensely itchy form of eczema. The condition typically starts with an itchy patch of skin, but scratching the itch only makes the skin ...
Neurodermatitis (lichen simplex chronicus, localized scratch dermatitis) is an itchy area of thickened, pigmented eczema patch that results from habitual rubbing and scratching. Usually, there is only one spot.
Lichen nitidus Localized granulomatous lymphohistiocytic infiltrate in an expanded dermal papilla; Thinning of overlying epidermis and downward extension of the rete ridges at the lateral margin of the infiltrate, resulting in a typical "claw clutching a ball" appearance. [10] Lichen amyloidosus
Since it has strong antihistamine properties, topical doxepin, in cream form, treats itching caused by skin conditions like lichen simplex chronicus and atopic dermatitis.
Weaker steroids are used on the face, eyelids, diaper area, perianal skin, and intertrigo of the groin or body folds. Moderate steroids are used for atopic dermatitis, nummular eczema, xerotic eczema, lichen sclerosis et atrophicus of the vulva, scabies (after scabiecide) and severe dermatitis.
The diagnosis is frequently made by treating the initial triggering skin problem and observing the improvement in the eczematous rash. Both the initial skin problem and the id reaction must be observed to make the diagnosis. [5] [6] Not all dyshidrotic rashes are id reactions, but id reactions are often dyshidrotic-like. [2]
The first sign of allergic contact dermatitis is the presence of the rash or skin lesion at the site of exposure. [2] Depending on the type of allergen causing it, the rash can ooze, drain or crust and it can become raw, scaled or thickened.
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