Lichen simplex chronicus on the ankle
Lichen simplex chronicus on the ankle
Lichen nitidus on the abdomen
Lichen nitidus on the abdomen
Lichen simplex chronicus
Lichen simplex chronicus
Lichen simplex chronicus on the back
Lichen simplex chronicus on the back


Lichen simplex chronicus

Symptoms:
  • Itching of the skin
    • May be chronic
    • May be intense
    • Increases with nervous tension, stress
  • Skin lesion, patch, or plaque
    • Exaggerated skin lines over the lesion
    • Circumscribed lesion with distinct borders
    • Skin lesion becomes leathery textured (lichenification)
    • Darkened (hyperpigmented) or reddened skin
    • Excoriation, raw areas
    • Scratch marks
    • Scaling
    • Commonly located on the ankle, wrist, neck, rectum/anal area, forearms, thighs, lower leg, back of the knee, inner elbow


Signs and tests:
The diagnosis is primarily based on the appearance of the skin and a history of chronic itching and scratching. A skin lesion biopsy may be needed to confirm the diagnosis.


Review Date: 4/15/2003
Reviewed By: Michael Lehrer, M.D., Department of Dermatology, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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