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Lichen Simplex Chronicus

Thickened, lined-appearing skin plaques caused by long-standing scratching.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Dermatoloji department. Book Appointment →

What is Lichen Simplex Chronicus?

Lichen simplex chronicus (LSC) is a secondary skin change resulting from long-standing scratching or rubbing. The skin becomes thickened (lichenified), its lines become prominent, and it becomes hyperpigmented.

Underlying conditions causing pruritus, such as atopic dermatitis, contact dermatitis, dry skin, stasis dermatitis, or psychological stress, are commonly present. Healing cannot be achieved without breaking the itch-scratch cycle.

It is most commonly seen on the nape of the neck, wrist, ankle, and anogenital area. It runs a chronic course and is a major source of distress for patients.

Symptoms

Thickened plaques with prominent skin markings
Exaggerated skin lines
Darkened (hyperpigmented) or pale patches
Persistent itching, especially at night
Scaling and dryness
Sites: nape, wrist, leg, scrotum, vulva
Relief after scratching followed by recurrent scratching

Risk Factors

Atopic constitution and atopic dermatitis
Stress, anxiety, and obsessive behaviors
Dry skin
Chronic venous insufficiency
Female sex and middle age
Contact irritants and allergens
Psychodermatologic disorders

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When itching and skin thickening disrupt sleep
  • When plaques gradually enlarge or spread
  • When intense stress and psychological symptoms accompany
  • When signs of infection develop after scratching
  • When topical treatment fails to provide a response

Treatment Methods

01
Topical corticosteroids (with occlusion)
02
Topical calcineurin inhibitors
03
Antihistamines (especially sedating ones)
04
Moisturizers and barrier care
05
Psychological support and stress management
06
Phototherapy (in resistant cases)

Which Department to Visit?

You can visit our Dermatoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Dermatoloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.