Lichen Simplex Chronicus/ Neurodermatitis

Lichen simplex chronicus or neurodermatitis is eczema caused by repeated scratching, by several ways this chronic scratching causes further itching. People with anxiety disorder or with family or personal history of eczema, psoriasis or similar skin conditions are more prone to encounter lichen simplex chronicus.

Lichen simplex chronicus

 

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Age / Sex of Lichen Simplex Chronicus

Women are much more likely to develop lichen simplex chronic. The highest prevalence is mild to late adulthood, between 30-50 years.

Race of Lichen Simplex Chronicus

There is no specific race predilection for this disease.

Causes of Lichen Simplex Chronicus

The exact cause of lichen simplex chronicus isn’t known. In some cases causes are associated with skin condition such as dry skin, eczema or psoriasis. Stress and anxiety can trigger itching.

Lichen Simplex Chronicus Signs and Symptoms

• Itching of the skin
• Scaling
• Scratch marks
• Raw area
• Becomes leathery in texture i.e. lichenification
• Darkened or reddened skin

Investigations

• Complete case history
• Clinical evaluation
• Skin biopsy
• Patch testing

Treatment for Lichen Simplex Chronicus

• Corticosteroids
• Anti-inflammatory
• Antibiotics
• Antihistamines
• Antidepressants
• Tranquilizers
• Dressings that moisturize cover and protect that area.
• Education and behavioral techniques

Prognosis of Lichen Simplex Chronicus

Prognosis of lichen simplex chronicus is good if one practice de-stress techniques and if scratches less. The condition may return or change site.

Complications of Lichen Simplex Chronicus

• Bacterial skin infection
• Permanent changes in skin color
• Permanent scar

Differential diagnosis of Lichen Simplex Chronicus

• Tinea corporis
• Tinea cruris
• Nummular dermatitis
• Sebrrheic dematitis
• Lichen planus
• Lichen striatus
• Psoriasis
• Stasis dermatitis
• Alopecia mucinosa

Diet / management of Lichen Simplex Chronicus

• Practice yoga and meditation
• Avoid over stressful situations
• Avoid non-vegetarian food item
• Use mild detergents
• Use glycerin soaps
• Stay away from infected persons
• Take cool bath
• Cover the affected area with bandage or dressing to keep way from scratching
• Trim fingernails
• Apply ice to the area when it itched of scratching
• Avoid wearing wool/ synthetic or tight fitting cloths
• Avoid overheating during day and maintain bed temperature at night

Homeopathic treatment for Lichen Simplex Chronicus

Alumina:
• Skin chapped and dry.
• Intolerable itching when getting warm in bed.
• Must scratch until it bleeds and later on become painful.

Hydrocotyle Asiatic:
• Effective in great thickening of epidermoid layer.
• Intolerable itching, especially on soles.
• Profuse perspiration.

Graphitis:
• Rough, hard, persistent dryness of portions skin.
• Skin unaffected by eczema.
• Patient chilly, constipated with tendency to skin affection.

Sepia officinalis:
• Itching not relieved by scratching.
• Worse in bends of elbow and knees.
• Profuse sweat with foul odor worse on toes.

Sulphur:
• Dry skin, unhealthy skin with itching and burning.
• Worse scratching and washing.
• Pruritus, especially from warmth in evening.
• Often recurs in spring time, in dam weather.
• Dry and hard hair and skin.

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