Lichen simplex chronicus (LSC) is a skin condition caused by chronic itching and scratching.
LSC; Neurodermatitis circumscripta
LSC may occur in people who have:
The problem is common in adults but may also be seen in children.
LSC leads to scratching, which then causes more itching. It often follows this pattern:
The main treatment is to reduce the itch.
You may need to use these medicines on your skin:
You may need to use dressings that moisturize, cover, and protect the area. These may be used with or without medicated creams. They are left in place for a week or more at a time. Wearing cotton gloves at night may prevent skin damage from scratching.
To control itching and stress, you may need to take medicines by mouth, such as:
Steroids may be injected directly into the skin patches to reduce itching and irritation.
You may need to take antidepressants and tranquilizers if the cause of your itching is emotional. Other measures include:
Monica Corazza practices in Ferrara, Italy. Corazza is rated as an Elite expert by MediFind in the treatment of Lichen Simplex Chronicus. She is also highly rated in 15 other conditions, according to our data. Her top areas of expertise are Lichen Sclerosis, Lichen Simplex Chronicus, Contact Dermatitis, and Cherry Angioma.
Sonja Stander practices in Muenster, Germany. Stander is rated as an Elite expert by MediFind in the treatment of Lichen Simplex Chronicus. She is also highly rated in 15 other conditions, according to our data. Her top areas of expertise are Prurigo Nodularis, Lichen Simplex Chronicus, Atopic Dermatitis, and Notalgia Paresthetica.
Gil Yosipovitch is a Dermatologist in Miami, Florida. Yosipovitch is rated as a Distinguished expert by MediFind in the treatment of Lichen Simplex Chronicus. He is also highly rated in 20 other conditions, according to our data. His top areas of expertise are Atopic Dermatitis, Prurigo Nodularis, Lichen Simplex Chronicus, and Stasis Dermatitis and Ulcers. He is licensed to treat patients in North Carolina, Florida, and Pennsylvania. Yosipovitch is currently accepting new patients.
You can control LSC by reducing itch and controlling scratching. The condition may return or move to different areas on the skin.
These complications of LSC can occur:
Call your provider if:
Published Date: November 10, 2020
Published By: Ramin Fathi, MD, FAAD, Director, Phoenix Surgical Dermatology Group, Phoenix, AZ. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Dinulos JGH. Eczema and hand dermatitis. In: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 3.
Patterson JW. The psoriasiform reaction pattern. In: Patterson JW, ed. Weedon's Skin Pathology. 5th ed. Philadelphia, PA: Elsevier Limited; 2021:chap 5.
Renzi M, Sommer LL, Baker DJ. Lichen simplex chronicus. In: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson IH, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 5th ed. Philadelphia, PA: Elsevier, 2018:chap 137.
Zug KA. Eczema. In: Habif TP, Dinulos JGH, Chapman MS, Zug KA, eds. Skin Disease: Diagnosis and Treatment. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 2.