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Lichen Simplex Chronicus

Jeremy Golding, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Lichen simplex chronicus (LSC) is a chronic dermatitis resulting from chronic, repeated rubbing or scratching of the skin. Skin becomes thickened with accentuated lines (“lichenifica...

DIAGNOSIS

HISTORY

  • Gradual onset

  • Begins as a localized area of pruritus

  • Most patients acknowledge that they respond with vigorous rubbing, itching, or scratching, which brings temporary satisfaction.

  • Pruri...

TREATMENT

GENERAL MEASURES

  • Patient education is critical.

  • Low likelihood of resolution if patient unable to avoid scratching.

  • Treatment aimed at reducing inflammation and pruritus.

MEDICATION

First Line

  • Red...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Patients should be followed for response to therapy, complications from therapy (especially topical steroids), and secondary infections. 

DIET

Reg...

REFERENCES

1
Lynch PJ. Lichen simplex chronicus (atopic/neurodermatitis) of the anogenital region. Dermatol Ther.  2004;17(1):8–19. [View Abstract on OvidMedline]
2
Patel T, Yosipovitch G. Therapy ...

ADDITIONAL READING

CODES

ICD10

L28.0 Lichen simplex chronicus 

ICD9

698.3 Lichenification and lichen simplex chronicus 

SNOMED

  • 53891004 Lichen simplex chronicus (disorder)

  • 201020007 Lichenification and lichen simplex chronicu...

CLINICAL PEARLS

  • LSC is a chronic inflammatory condition that results from repeated scratching and rubbing.

  • Primary LSC originates de novo, whereas secondary LSC occurs in the setting of a preexisting p...

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