pubis, scrotum and extensor sides of forearm. Neurology 2004;. We conducted a systematic review of the literature to evaluate treatments for LSC and provide. Lichen simplex is more common in people who feel anxious or stressed. This helps the cream soak into the skin. lichen simplex chronicus Lichenification refers to hard, rough patches of skin that result from repeated rubbing or itching. Lichen planus is a chronic, inflammatory, autoimmune disease 1 occurring in 0. This is usually a response to some long-term (chronic) skin condition but may be the result of mental agitation and the establishment of a scratch-itch-scratch-itch cycle. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus. ritic, it can result in subsequent development of lichen simplex chronicus (LSC), which appears as single or multiple, clearly demarcated, thickened and hyperpig-mented plaques, with scaling and alopecia due to hair breakage. Plaques are most commonly found in areas that are easily. Idiopathic pure sudomotor failure: anhidrosis due to deficits in cholinergic transmission. Lichen simplex chronicus is thought to be an atopic disorder in many cases and may arise in normal skin as a result of psychological stress or environmental factors. D. 1. 51,986 satisfied customers. Scratching the itchy patch of skin is what causes the rash. Scabies and lichen simplex is different and has to be differentiated. Lichen simplex chronicus (LSC) is an acquired, severely itching chronic dermatosis with circumscribed lichenified lesions, which are due to skin rubbing and scratching. This is known as lichen simplex chronicus (LSC). Vulvar lichen simplex chronicus is a common dermatosis characterized by skin lichenification following excessive scratching. Histopathological features were suggestive of. :58. Corticosteroids. 0 is a billable diagnosis code used to specify lichen simplex chronicus. Lichen simplex chronicus (LSC) of the vulva is an acquired, persistent, severely itchy dermatosis usually located in easily reachable areas of the body like the extremities, nape of the neck, and genitalia. " This happens when the vulvar skin becomes sensitive and irritated. The skin becomes dry, scaly, and hyperpigmented. The. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. external surfaces of forearms, lower legs, scrotum, and vulva + + + General Considerations + + A self-perpetuating scratch-itch cycle. In patients with genital lichen simplex chronicus, especially vulvar disease, silk fabric underwear is less irritating than cotton fabric underwear and may improve the condition. It most often affects skin areas that are easier to reach, such as the upper chest, arms, neck, legs. Erythema may be variable, and lesions may be solitary or multiple. 0 may differ. The main goals of treatment for scrotal lichen simplex are: 1. Vulval lichen simplex. This itchy patch often develops on an arm, leg, back of the neck, scalp, or groin area. LSC affects approximately 12% of the population and occurs primarily in adults, with the highest prevalence in people aged 30–50 years [ 1 – 3 ]. J Eur Acad Dermatol . Lichen simplex chronicus. Br J Dermatol. “Increased risk of lichen simplex chronicus in people with anxiety disorder: A nationwide population-based retrospective cohort study. No sclerosis or atypia is seen. A man in his 60s presented with complaints of severe itching over genitalia and scrotal skin thickening (lichenification) associated with overlying depigmented macules for the past 5 years. It is estimated to occur in approximately 0. 1111/jdv. 2014 Apr;170. 该状况会累及可抓挠的部位，包括头皮、颈部、手腕、前臂、脚踝、外阴、阴囊和肛门. It most often affects skin areas that are easier to reach, such as the upper chest, arms. History. M. Trusted Aesthetics serving Fort Wayne, IN. But the itching can be so intense it disrupts your sleep, sexual function and quality of life. Primary lichenification is caused by constant itching or rubbing of the skin due to lichen simplex chronicus, also known as neurodermatitis. Gynecologic and Obstetric Investigation. Vulval lichen simplex. However, both of our cases were males. 5 Disseminated superficial actinic porokeratosis (DSAP) L82. Neurodermatitis, also known as lichen simplex chronicus, is a localized skin disorder characterized by chronic itching and scratching that leads to skin thickening, or lichenification. Inner sides of thighs and ankle regions (frequent rubbing of ankle areas against each other; possible verrucous component - verrucous lichen simplex. 4 Rarer presentations include PD simulating lichen simplex chronicus. Neurodermatitis, also known as lichen simplex chronicus, is a localized skin disorder characterized by chronic itching and scratching that leads to skin thickening, or lichenification. 1% in the treatment of. Treating any underlying dermatosisor predisposing condition 4. These changes, known in conjunction as lichenification, are occasionally superimposed on other dermatoses, inflammatory and neoplastic. Therefore, we conducted a meta-analysis based on existing randomized controlled trials (RCTs). Hudsygdommen ses hyppigere hos patienter med kroniske hudsygdomme såsom atopisk-eksem-boerneeksem eller psoriasis. Differential diagnosis of tinea cruris includes. While the itchy bumps can develop anywhere, most appear on one or more of these areas: Arms. Lichen simplex chronicus is defined as a common form of chronic neurodermatitis that presents as dry, patchy areas of skin that are scaly and thick. Lichen simplex: This problem occurs because of excess scratching and rubbing. 121-129). Many doctors call it an "itch-scratch cycle. Lichen simplex chronicus (LSC) of the vulva is an acquired, persistent, severely itchy dermatosis usually located in easily reachable areas of the body like the. Lichen simplex chronicus (LSC; also known as neurodermatitis) is a common cutaneous disorder characterized by well-circumscribed erythematous, often hyperpigmented, plaques of thickened lichenified skin. Thirty-six patients with lichen simplex chronicus and 36 age- and sex-matched healthy controls were included. L43. Lichen simplex chronicus (LSC), also known as circumscribed neurodermatitis, is a common skin condition seen most frequently in adults. Try nonprescription medications. 1% tacrolimus ointment: An observational study. lichen simplex: Hardened and thickened skin epidermis caused by abnormally persistent scratching. Lichen simplex chronicus. Lichen sclerosus is an uncommon inflammatory dermatosis. Put a cool, wet cloth on the affected skin for a few minutes before you apply a medicated cream. Damage to the nerves, e. Lesions occur on any part of the body that is scratchable, including anogenital areas (e. It may be conscious and to the point of replacing the sensation of itch with pain or maybe unconscious occurring during sleep. Lichen Simplex Chronicus (LSC) is a chronic skin disease characterized by lichenified plaques, which occur as result of constant scratching or. 1% topical tacrolimus significantly decreased mean itch scores, itch frequency, and overall affected surface area after treatment (p<. The most commonly involved sites include the scalp and neck, groin (scrotum or vulva), forearms, shins, or ankles. While many patients have a personal or family history of atopy, the mechanism by which an atopic diathesis results in the development. . 170 (4):890-4. If eczema affects an area of the vulva called the vestibule (the smooth skin next to the vaginal opening and upward toward the clitoris), it may cause stinging and. D. dyes. 2022;102:adv00796. Scrotal involvement is usually absent or slight; by contrast, the scrotum is often inflamed in candidal intertrigo or lichen simplex chronicus. U. 2:1 to 2:1),. The 2024 edition of ICD-10-CM L43. INTRODUCTION. A dampness coming from the outer vulvar skin can also be experienced, and it is important. 0 is a billable diagnosis code used to specify lichen simplex chronicus. On the scalp, it appears as a single or multiple oval lesions. [QxMD MEDLINE Link]. References 1 Nakazato Y, Tamura N, Ohkuma A, Yoshimaru K, Shimazu K, and Ohshima Y: Idiopathic pure sudomotor failure: anhidrosis due to deficits in cholinergic transmission. 神经性皮炎的治疗重点在于控制瘙痒、防止抓挠和解决根本病因。. Mild lichen simplex chronicus, see note. Itching vagina and rectum. PMID: 20885061. Effective treatment of scrotal lichen simplex chro nicus . 74970. 0 became effective on October 1, 2023. Scratching actually makes the skin itchier. Dermacase. M. L28. Symptoms of neurodermatitis. Anxiety is common. Individuals scratch the pruritic areas of the skin and cause them to become thickened, leathery plaques. Lichen simplex chronicus (LSC) of the anal region is characterized by massive pruritus, constant itching and a chronic course. Lichen simplex chronicus (LSC) of the vulva is an acquired, persistent, severely itchy dermatosis usually located in easily reachable areas of the body like the. Treatment with topical clobetasol propionate, intralesional triamcinolone and systemic doxepin, doxycycline, cetirizine and prednisolone 40 mg improved neither the symptoms nor the clinical appearance. In this prospective, observational study, 29 men presenting with scrotal LSC were treated with 0. pubis, scrotum and extensor sides of forearm. T able 1 : Scrotal Swellings: Angioedema and Lichen simplex chronicus (LSC). scrotal lichen simplex 0. Figure 2a,b: Scrotal swellings: Depicting lichen simplex chronicus. 7 The cause of LSC is unknown. But. As SD can be intensively pruritic, it can result in subsequent development of lichen simplex chronicus (LSC), which appears as single or multiple, clearly demarcated, thickened and hyperpigmented plaques, with scaling and alopecia due to hair breakage. In children, ecchymotic and bleeding could be a suspicion of sexual abuse (13, 136). Riehl Melanosis (Pigmented Contact Dermatitis) Seborrheic Dermatitis. Basic skin lesions divide into primary, secondary, and special types. Introduction S crotal dermatitis is characterized by severe itching, erythema, scaling and lichenification of the scrotal skin. It is commonly seen in people suffering from seborrheic dermatitis, contact dermatitis, and psoriasis. J. Often, an. Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. Lichen simplex chronicus (LSC) is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. Lichen simplex chronicus is an itchy skin condition causing thickened skin at areas that have been injured by repeated scratching and rubbing. Skip to main content. [1] It generally results in small bumps, patches, scratch marks and scale. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). “Prurigiform angiomatosis" has been suggested as a term to describe this pattern of epidermal. You can develop: Raw, bleeding skin or sores. 一块或多块瘙痒性鳞状皮肤斑片. 出血的开放性疮口. L28. 10, 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. CrossRef PubMedLichen simplex chronicus can present as a solitary lesion or as multiple lesions—usually in areas that are easy to reach. [2,3] Terapi bedah jarang dilakukan dan hanya dilakukan saat medikamentosa tidak efektif. Nails. 78,666 satisfied customers. Itching due to conditions such as fungal skin infections and varicose veins can also lead to lichen simplex. The more you scratch or rub neurodermatitis, the itchier it often becomes. A single or multiple plaque (thickened area of skin) of rough skin forms, with more markings and sometimes little bumps around the hair follicles. In this exploratory study, signs and symptoms of vulvar LSC improved for all women and pimecrolimus cream showed a favorable safety profile, and erythema, excoriation, and lichenificationImproved for all patients. 1 to 4 percent of the general population, most often in perimenopausal women. Lichen simplex chronicus involves a cycle in which scratching provokes itching, which provokes more scratching. Lichen simplex chronicus. Short-term topical corticosteroids are used. Juan CK, Chen HJ, Shen JL, Kao CH. Skin irritation from personal hygiene products such as soaps, perfumes and detergents. > Go to the image library. Scrotal eczema symptoms may include: intense itchiness. Effective treatment of scrotal lichen simplex chronicus with 0. While there are multiple clinical variants that may involve the skin of the whole body, the most common form affecting the vulva and vagina is called erosive lichen planus. This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching. Nonetheless, lichen sclerosus and lichen simplex chronicus can show increased expression of p53. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. 2014 Apr;170(4). (See also. Ball SB, Wojnarowska F. e. Neurodermatitis around an ankle. Abstract. Treatment with topical clobetasol propionate, intralesional triamcinolone and systemic doxepin, doxycycline, cetirizine and prednisolone 40 mg improved neither the symptoms nor the clinical appearance. . We conclude that topical tacrolimus can be used as an effective, long-lasting therapeutic modality in treating LSC, especially in sensitive skin areas such as the face. Lichen simplex chronicus can occur anywhere on the body, including the anus (see Pruritus Ani Anal Itching Itching of the anus (the opening at the end of the digestive tract where stool leaves the body) and the skin around the anus (perianal skin) is called anal itching or pruritus ani. 神经性皮炎的症状包括：. Isolated hypertrophic lesions on the scrotum are rare phenomenon. The term lichenification is classed as a secondary skin lesion wherein the characteristic features of skin thickening, hyperpigmentation, and exaggerated skin lines are noted. Patients present with circumscribed, hyperpigmented, thickened,. The peak of incidence is between 35 and 50 years of age, and women are more affected than men (F:M = 2:1). 6%) were seen most frequently. Especially dark colors can cause allergic reactions, as well as fragrances in moist toilet papers or detergents. 1. The main cause of lichen simplex chronicus (LSC) is not known but there is evidence to suggest. LP is inflammatory, papulosquamous disorder affecting either or all of the skin, mucous membrane, hair, and nail. The condition most commonly affects women between the ages of 30 and 50. Contributed by Dr. 1. 2013;42(9):S284 0. Lichen Simplex Chronicus Scrotum. Topical calcineurin inhibitors, pimecrolimus 1% cream seems to be an effective and safe treatment modality for pruritus in postmenopausal women with vulvar lichen simplex chronicus [25–27]. 만성단순태선 및 가려움발진(慢性單純苔癬/痒疹, Lichen simplex chronicus and prurigo) L28 (1) 만성단순태선(慢性單純苔癬, Lichen simplex chronicus) L28. Neurodermatitis atau yang dekenaal dengan nama Lichen Simplex Chronicus adalah penyakit kulit kronis yang diawali dengan rasa gatal yang berlebihan pada bagian tubuh tertentu. Lichen simplex chronicus of anogenital region: a clinico-etiological study. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Diagnosis is by examination. Lichen simplex chronicus manifests as persistent itching and scratching of the vulvar skin that leads to thickened epithelium. 12500. Owing to severe itching and scratching, the natural course of lichen simplex chronicus (LSC) is clinically characterized by typical lichenoid lesions. The therapy of lichen simplex chronicus is to be applied as a long-term strategy! It should be made clear that this is an eminently chronic disease! If necessary, a psychotherapist should be involved in the therapy at an early stage! Antihistamines can be used against the itching. Lichen simplex chronicus (LSC) is a skin disorder characterized by lichenification of the skin as a result of primary excessive scratching (). Vulvar lichen simplex chronicus is a chronic eczematous disease characterized by intense and unrelenting itching and scratching. Created 2007. Lichen simplex chronicus (LSC), also known as neurodermatitis, is a common chronic pruritic dermatitis characterized by lichenification of the skin caused by chronic itching and scratching. Vulval lichen simplex. Ætiologi og patogenese. Neurodermatitis, also called lichen simplex chronicus, is a common type of eczema, a group of skin conditions that make skin itchy and inflamed. Tan ES 1 , Tan AS 2 ,. It most often affects skin areas that are easier to reach, such as the upper chest, arms, neck, legs. This was the first year ICD-10-CM was implemented into the HIPAA code set. LICHEN simplex chronicus, the subject of this paper, is, in our experience, quite common among private patients and should be of some interest to radiologists. When it begins in the groin area, it tends to develop on the anus, scrotum, or vulva. Lichen simplex chronicus is not a primary disease but rather the skin’s response to chronic physical injury / trauma. 0 became effective on October 1, 2023. Scrotal involvement is usually absent or slight; by contrast, the scrotum is often inflamed in candidal intertrigo or lichen simplex chronicus. Swick; used with permission. Lichen simplex of the scrotum is a pruritus form of dermatitis where excessive scratching or rubbing leads to lichenification. com. J Eur Acad Dermatol Venereol 2015; 29 (7): 1448-9. More pronounced skin lines. The above description is abbreviated. Lichen simplex chronicus frequently occurs in people with anxiety disorders and nonspecific emotional stress. LSC is commonly seen between ages 35 to 50 years of age, affecting approximately 12% of the population in the world where women are more affected than men [ 1 ]. The frequent rubbing leads to the development of lichenified. However, there has been a report of disease recurrence after surgical excision of a plaque of lichen simplex chronicus, 5 which suggests that unknown and more profound factors are responsible for the affliction. Lichen simplex chronicus is in the nomencla-ture differentiated by other forms of secondary lichenification, which usually complicate persi-Disorders of Epidermal Maturation (Ichthyosis) K. Apabila digaruk akan menimbulkan reaksi gatal yang semakin menjadi. Lichen simplex chronicus is defined as a common form of chronic neurodermatitis that presents as dry, patchy areas of skin that are scaly and thick. Anais Brasileiros de Dermatologia. Hypertrophic LP is subacute or chronic variant of LP commonly affecting the pretibial region. It usually presents as thickened skin or lichenification. Lichen simplex of the scrotum is a pruritus form of dermatitis where excessive scratching or rubbing leads to lichenification. Lichen simplex chronicus became the favored diagnosis in this case, but venous stasis dermatitis was also among the differential possibilities. Lichen simplex chronicus is the medical name for. The most commonly involved sites include the scalp and neck, groin (scrotum or vulva), forearms, shins, or ankles. The severe skin involvement of an overall grade IV GVHD did not respond to a combination of three different high-dose immunosuppressive agents (prednisolone, cyclosporin and mycophenolate mofetil) and the skin lesions had dramatically improved after 3 weeks of. Definition. Apply calamine lotion or a lotion that contains camphor or menthol. Anogenital lichen simplex chronicus is a common condition. 26M British Asian UK based So I've suffered from this condition for a year now. Lichen Simplex Chronicus Associated With Erectile Dysfunction: A Population-Based Retrospective Cohort Study. Dry skin (xerosis). This itchy patch often develops on an arm, leg, back of the neck, scalp, or groin area. scrotal lichen simplex chronicus: An open-label study. 2 The site of the lesion is typically unilateral and reachable by the dominant hand. Tacrolimus ointment 0. 1% tacrolimus ointment twice daily for 6 weeks. Clinically, it manifests as red to hyperpigmented to white plaques with. Alternatif tata laksana mencakup kortikosteroid intralesi, kortikosteroid sistemik, terapi oklusi, agen sedasi, penyekat calcineurin topikal, dan antipuritik topikal. The more you try to ease the discomfort, the worse it gets. However, no data are available from investigations into the relationship between erectile dysfunction (ED. read more ) and the genital area (pruritus of the vulvae. 0 Inflamed seborrheic keratosis. 1 Prurigo nodularis. Lichen simplex chronicus (LSC) is a lichenified well-demarcated scaly plaque that is induced by chronic rubbing and/or scratching. Lichen simplex chronicus is a form of chronic localized pruritus with a secondary dermatitis, and one of the most common types of chronic itch conditions, estimated to affect more than 10% of the. Neurodermatitis can occur anywhere you can reach to scratch, but is most common on the feet, ankles, hands, wrists, elbows, shoulders, neck and scalp. Scratch marks and other signs of scratching. [see Lichen sclerosus in men] 15% of patients know of a family member with lichen sclerosus. If the appearance is not diagnostic, a potassium hydroxide wet mount is helpful. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). This is the American ICD-10-CM version of L28. 2 Other prurigo. Unfortunately, lichen simplex chronicus is not a curable condition, this means that most patients would experience recurrences at different times throughout their life HOWEVER that does not mean that it cannot be treated. It also has a strong association with atopy and is said to be initiated and perpetuated by the itch–scratch–itch cycle. . 0 may differ. Increased risk of lichen simplex chronicus in people with anxiety disorder: a nationwide population-based retrospective cohort study. A biopsy showed features consistent with lichen simplex. Lichen simplex chronicus (LSC) is a chronic, itching, circumscribed, inflammation disorder of skin, which the incident rate has increasing lately. As the condition worsens, other symptoms associated with lichenification can develop, such as: Small, raised bumps on the patch of skin affected. Indeed, other pruritic conditions, such as prurigo nodularis and lichen simplex chronicus, may present with similar appearing lesions. Diagnosis is by examination. Treatment. Point of Care - Clinical decision support for Lichen Simplex Chronicus. MLA Citation "Lichen Simplex Chronicus. 皮肤厚而粗糙. The multifactorial nature of LSC makes management difficult and there are currently no evidence-based guidelines for treatment. Fixed drug eruption, angiokeratoma of Fordyce, lichen sclerosus et atrophicus etc. 1 Prurigo nodularis . Got pissed it wasn't a f2f so ended up. It most commonly occurs on the neck, ankles, scalp, pubis, vulva, scrotum, and extensor forearms as a result of chronic. 1% tacrolimus ointment: an observational study. Lichen simplex chronicus is a localized disorder characterized by pruritus that leads to thickened, lichenified, violaceous patches. 1 Prurigo nodularis L90. 医务人员可能会建议进行以下一种或多种治疗：. The first definition was introduced by Vidal, then LSC was further described by Brocq. The nerve endings in the affected area are particularly irritable and trigger a cycle of itching. (50%). Statistics. 5% and most commonly involves the labia minora. 0 L280^00 Figure 10-(1)-13. Genital warts. Re-establishment of the normal skin barrier. Ultimately you may simply scratch out of habit. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus,. News & Perspective Drugs &. [1] It typically affects the neck, scalp, upper eyelids, ears, palms, soles, ankles, wrists, genital areas and. Psychogenic parasitosis results from a fixated belief that one is infested. This patch of skin may itch often or from time to time. g. Please stop scratching, squeezing, or rubbing the skin of your scrotum. On the scalp, it appears as a single or multiple oval lesions. This vicious itch cycle continues if left untreated. Location, lesion morphology, and extent of the lesions influence treatment. Lichenification and lichen simplex chronicus. However, the incidence and prevalence have not been established properly. Lichen sclerosus is ten times more common in women than in men. Purpose: To evaluate the description of LSC patient and establishment diagnosis of LSC. What causes lichenification? Lichenification may be further classified as primary or secondary, depending on its cause. Lichen simplex chronicus of the scrotum or vulva is often caused by an itch signal initiated by sacral sensory neuron radiculopathy. Lichen simplex can affect any age group but is. cal sites are forearms, the n uchal area, scrotum, and shins. Lichen planus 1 Lymphengectasia scrotum 2 Psoriasis 1 Staetocystoma multiplex 2 Squamous cell carcinoma 1 Scrotal dermatitis 2 Dermatophytosis 5 Lichen simplex chronicus 2 1 Candidiasis 3 Figure 1: Vitiligo: depigmented macules over glans. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Even with successful treatment, the symptoms often come back. Lichen simplex is a chronic itchy skin disorder characterised by well demarcated, erythematous patches, and plaques of thickened leathery skin. Lichen simplex chronicus on the scalp: exuberant clinical, dermoscopic, and histopathological findings. ” J Am Acad Dermatol. Spoke to a dermatologist at the end of August who prescribed me mometasone (apply once daily wrap clingfilm on the scrotum so it doesn't come off on my boxers) . Applying ice to the itchy areas can reduce the symptoms. Pengobatan Neurodermatitis. The nape of the neck, forearms, elbows, scrotal skin, legs, and ankles are predilected sites. When you scratch often, it affects your skin. Introduction. Treatment is directed at the initial cause of the itch and includes education. 10, 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. Individuals scratch the pruritic areas of the skin and cause them to become thickened, leathery plaques. Phytophotodermatitis. More than a skin disease: stress, depression, anxiety levels, and serum neurotrophins in lichen simplex chronicus. Neurodermatitis is a skin condition that starts with an itchy patch of skin. 0). Lichen simplex chronicus (LSC) is a chronic skin condition strongly linked with emotional factors which are the source of intense pruritic sensation [1, 2]. , vulva, scrotum, anus) Histopathology: hyperplasia and hyperkeratosis of squamous epithelium [10] Treatment. Without treatment, it can lead to scarring, making it difficult or painful to have sexual intercourse ( dyspareunia ), urinate (pee) or have a bowel movement (poop). Lichen simplex is also known as neurodermatitis, lichen simplex chronicus, and neurodermatitis circumscripta. Lichen simplex chronicus can present as a solitary lesion or as multiple lesions—usually in areas that are easy to reach. LSC (circumscribed neurodermatitis) is characterized by a central lichenificated plaque thickened and often hyperpigmented, usually surrounded by lichenoid papules and, along the borders with. As SD can be intensively pruritic, it can result in subsequent development of lichen simplex chronicus (LSC), which appears as single or multiple, clearly demarcated, thickened and hyperpigmented plaques, with scaling and alopecia due to hair breakage. 2014 Apr. The 2024 edition of ICD-10-CM L28. Scrotal pruritus; ICD-10-CM L29. This gradual thickening of skin is called lichenification. For some people, the patch is also painful. vulva, scrotum, and extensor region of the upper limbs. Coyle Connolly answered. [90,95] prophylactic aciclovir should be prescribed for patients with a history of genital HSV. Treatment is directed at the initial cause of the itch and includes education. Lichen simplex chronicus (LSC) or neurodermatitis, is characterized by dry and patchy areas of the skin that tend to be thick and scaly. Dermatologists refer to this itching and scratching as the itch-scratch-itch cycle. Lichen simplex chronicus. Lichen simplex chronicus. Squamous cell carcinoma can also mimic hypertrophic lichen planus; in addition, squamous cell carcinoma can develop in hypertrophic lichen planus lesions [2,6]. The cause of the initiating "itch" that leads to lichen simplex chronicus includes irritation or allergies from chemicals (soaps, laundry detergent, fabric softeners, menstrual pads. It begins with an urge to scratch that irritates nerves, leading to a chronic itch-and-scratch cycle that prevents. It may be a complication of atopic dermatitis. Lichen simplex chronicus (LSC) is a lichenified well-demarcated scaly plaque that is induced by chronic rubbing and/or scratching. 38).