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Localized Scratch Dermatitis

more about Localized Scratch Dermatitis

Circumscribed neurodermatitis or Lichen Simplex Chronicus

  • This is a disease in which nerve fibers (under the skin) become thickened and scarred, causing chronic, itchy inflammation.  The cause is not known but psychological factors are generally believed to play a role.  Appears not to be allergic, affects more women than men, and is more common among Native Americans and Asians.

  • Itchy skin lesions
  • Lesions become dark, thick, and leathery with round scaly plaque underneath.  The lesions may have well-defined rectangular borders, or present in oval, irregular, or angular shapes.
  • Exaggerated skin lines in the lesions
  • Usual locales -- nape of the neck, forearms, area on inside of elbows, wrists, inner thighs, behind the knees, and lower legs

  • Skin biopsy

  • Topical corticosteroids (super high-potency, such as Temovate)
  • Corticosteroid injections into the lesions
  • Tars in 1% triamcinolone ointment or anthralin
  • Duoderm occlusive dressing for extended periods.
  • Avoid harsh irritating fibers like wool.  Try cotton.
  • Avoid excessive drying of skin.
  • Avoid excessive itching.
  • Soap can further dry the lesions.
  • Excessive sweating my make it worse.
  • Use oils and baths to keep skin moist.

  • Psoriasis
  • Nummular dermatitis
  • Lichen planus

more about Localized Scratch Dermatitis

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