Lichen Simplex Chronicus Treatment Tips

By: Juliet Cohen

Lichen simplex chronicus is a skin disorder characterized by chronic itching and scratching. It is also known as localized eczema. This condition causing thickened skin at the areas of skin injured by repeated scratching and rubbing. Lichen simplex chronicus is not a primary disease but rather the skin's response to chronic physical injury (trauma). The gradual thickening of skin, caused by repetitive scratching and rubbing, is called lichenification. Lichen Simplex Chronicus is seen in people with eczema. Although eczema can affect the whole body, the eruption of LSC in usually found in one area. The nerve endings in this area are irritable and trigger an itch-scratch-itch cycle. The more the eruption is scratched or rubbed, the more it itches, continuing the cycle.

Lichen simplex chronicus can occur in people of any age, of any race. It is more common in females than in males and appears more frequently in middle-aged and older adults. Lichen nuchae is a form of lichen simplex that occurs on the midposterior neck and is observed almost exclusively in women. People with lichen simplex chronicus have skin that is dry and easily irritated by soap, detergents, and rough wool clothing. Hot and cold weather often aggravates lichen simplex chronicus. The most important part of treatment is understanding that all itching, rubbing, and even touching of the rash must stop.Potent topical steroids are usually required. Occlusion is sometimes necessary to try to reduce the itching and to thin out the excessively thickened skin.

Antidepressants and tranquilizers may be needed in those patients. Oral antihistamines that are sedating may be of benefit at bedtime. Antihistamines, sedatives, or tranquilizers may be needed to reduce itching and to reduce stress. The use of Doxepin cream or Capsaicin cream can sometimes help reduce itching. Steroids may be injected directly into lesions to reduce itching and inflammation. Peeling ointments, such as those containing salicylic acid, may be used on thickened lesions. Dressings that cover and protect the area may be used with or without topical medications. Taking good care of your skin is the best way to prevent neurodermatitis. Use gentle cleansers and plenty of moisturizer. Increase the humidity in your home. Keep stress under control.

Lichen Simplex Chronicus Treatment Tips

1. Use moisturizers to help relieve itchy skin.

2. Apply hydrocortisone cream to decrease the itch.

3. Lotion or steroid cream applied to the affected area of the skin.

4. Antidepressants and tranquilizers may be needed in those patients.

5. Steroids may be injected directly into lesions to reduce itching and inflammation.

6. Peeling ointments, such as those containing salicylic acid, may be used on thickened lesions.

7. Dressings that cover and protect the area may be used with or without topical medications.

8. Antihistamines, sedatives, or tranquilizers may be needed to reduce itching and to reduce stress.

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