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. Previous studies show some differences regarding. com. . Lichen simplex chronicus (LSC) is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. 200, Fort Wayne, IN 46804: Integrative Dermatology & Laser Spa. 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. Request a. The 1 excepted case had typical LP at hair-bearing skin of the inferior labium majus and noncontiguous LS at hairless. Lesions occur on any part of the body that is scratchable, including anogenital areas (e. “Tacrolimus ointment 0. In males, scrotum was the predominant site involved (89. Ætiologi og patogenese. When you scratch often, it affects your skin. Riehl Melanosis (Pigmented Contact Dermatitis) Seborrheic Dermatitis. read more ) and the genital area (pruritus of the vulvae. Effective treatment of scrotal lichen simplex chronicus with 0. 4103/0378-6323. The symptom of lichen simplex chronicus that is primary is skin that is itchy – often in a single area or patch on the forearm, neck, thigh, ankle, or wrist. 2013;68(4) supp. 1, page AB38. 1% topical tacrolimus significantly decreased mean itch scores, itch frequency, and overall affected surface area after treatment (p<. Anais Brasileiros de Dermatologia. Neurodermatitis begins with an itchy patch of skin. [ 1] Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. Is lichen simplex hereditary? Lichen simplex itself does not run in families, but some of the skin diseasesLichen simplex chronicus is a skin problem that starts with a very itchy patch of skin. Bartholin cysts present as nontender fluctuant masses at. Untuk membantu meredakan gejala, ada beberapa upaya yang dapat dilakukan secara mandiri di rumah, yaitu: Jangan menggosok dan menggaruk kulit yang gatal. Effective treatment of scrotal lichen simplex chro nicus . This ultimately results in a rough, scratched (excoriated), thickened skin surface which may develop increased pigmentation (hyperpigmentation) as seen here on the front part of the foot. 1, page AB38. Differential diagnostic considerations include verrucous lichen. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. Point of Care - Clinical decision support for Lichen Simplex Chronicus. It generally results in. Dermatol Ther 2008;21:42-46. LSC: Lsc is a condition caused by chronic rubbing/scratching of the skin. Size ranges from pinpoint to larger than a centimetre. Most men. [ 1] It tends to follow a chronic course, sometimes in years or even decades, unless the itch–scratch cycle is broken. In prurigo nodularis,. 1% tacrolimus ointment: an observational study J Eur Acad Dermatol Venereol . Pediatric Atopic Dermatitis. Symptoms. If not treated till it flattens completely and clears, except some residual pigmentary. Lichen sclerosus. doi: 10. ” J Am Acad Dermatol. This cycle can be difficult to break. Lichenification refers to thickened skin with enhanced skin markings that occurs as a result of friction from excessive scratching and rubbing. Lichen simplex chronicus (LSC) is a common skin condition which appears as a circumscribed and scaly plaque in the setting of chronic rubbing. Lichenification can be further divided into primary and secondary types wherein primary lichenification signifies lichen simplex chronicus, also known as neurodermatitis circumscripta. Penatalaksanaan pilihan pada neurodermatitis adalah kortikosteroid topikal potensi tinggi. Written by:. 1% tacrolimus ointment twice daily for 6 weeks. “Increased risk of lichen simplex chronicus in people with anxiety disorder: A nationwide population-based retrospective cohort study. This itchy patch often develops on an arm, leg, back of the neck, scalp, or groin area. Some people find that stress makes their symptoms worse. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus. read more ) and the genital area (pruritus of the vulvae. 止痒药膏。. “Tacrolimus ointment 0. 2014 Apr;170. Lichen simplex chronicus. Lichenification presents as a thick patch, or plaque, of skin in one or more locations on the body. . Lichen simplex chronicus involves a cycle in which scratching provokes itching, which provokes more scratching. Reduce pruritus; minimize lesions; stress reduction; lichen simplex chronicus (neurodermatitis) Papulosquamous disorder patterned on the sebum-rich areas of the. 0 L280^00 Figure 10-(1)-13. L28. It is commonly seen in people suffering from seborrheic dermatitis, contact dermatitis, and psoriasis. 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. (See also. It seems to me that you have two separate conditions: lichen simplex chronicus and something else: probably seborrheic keratoses. [90,95] prophylactic aciclovir should be prescribed for patients with a history of genital HSV. L28. Lichen simplex chronicus (LSC) is a psychogenic pruritic disorder (PPD) or neuro-dermatitis, which leads to chronic scratching and. Atrophic lichen planus is a rare annular variant with an atrophic centre. Lichen simplex chronicus (LSC), also known as neurodermatitis, is a common chronic pruritic dermatitis characterized by lichenification of the skin caused by. Objective: The aim of this double-blind, crossover placebo. 0 may differ. What is Lichen simplex chronicus? Lichen simplex chronicus is also known as neurodermatitis. Medical treatments for lichen simplex chronicus. Den vedvarende manipulation af huden, skaber en kronisk inflammation i huden. *Tiengo C, Deluca J, Belloni-Fortina A,. The management of lichen simplex chronicus is divided into four categories: identification of any underlying disease, repair of the barrier. Idiopathic pure sudomotor failure: anhidrosis due to deficits in cholinergic transmission. ICD-10-CM Code for Lichen simplex chronicus L28. inflamed, scaly skin. Vulvar cancer. Dermatology 31 years experience. You may have this for weeks or months. Neurodermatitis (circumscribed) (circumscripta) (local)This page includes the following topics and synonyms: Lichen Simplex Chronicus, Lichen Simplex, Circumscribed Neurodermatitis, Lichen Simplex Nuchae, Scalp Pickers Nodule, Vulvar Lichen Simplex Chronicus, Red Scrotum Syndrome. L28. 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. The key point of therapy is to introduce an individualised therapy regimen according to the patient’s age, pre-existing diseases, medications, quality and intensity of pruritus. It is commonly associated with another disorder of cutaneous hypersensitivity. 生殖器皮肤变色、起皱. Created for people with ongoing healthcare needs but benefits everyone. Lichen Simplex Chronicus. The main cause of lichen simplex chronicus (LSC) is not known but there is evidence to suggest. L43. Prurigo nodularis and lichen simplex chronicus. A. However, the incidence and prevalence have not been established properly. When it begins in the groin area, it tends to develop on the anus, scrotum, or vulva. Although it can occur anywhere on the body, lichen simplex chronicus is most commonly seen in the following areas: Inner wrists, forearms, and elbows; Sides and back of neck; Upper thighs, knees, shins, ankles, and tops of feet; Vulva, scrotum, anus (anogenital areas) Scalp; Each patch of lichen simplex chronicus appears as leathery, thickened. The clinical course of scrotal lichen simplex is chronic and protracted, and patients may suffer indefinitely without appropriate treatment. Europe PMC is an archive of life sciences journal literature. Lichen sclerosus (LS) is a chronic, inflammatory dermatologic condition most often affecting the anogenital region, although it can occur on any skin surface. PMID: 21220876. Breaking the itch-scratch cycle, often with topical steroids, is the. 62 Upper limb, Left D03. Hope this is the right place. Scrotal dermatitis 46(15. Iymphangiectasia of the scrotum. Abstract. Lichen simplex chronicus is something that begins with an itch on an area of the skin and repeated skin itching thickens the area. Pubic lice (or crabs). Lichen simplex: This problem occurs because of excess scratching and rubbing. 2007;64(4):180-186. 10, 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. The more you scratch or rub neurodermatitis, the itchier it often becomes. Definition: secondary skin lesions as a result of chronic scratching;. wrists, extensor forearms, vulva, pubis, and scrotum. 0 L280^00Lichen simplex chronicus (LSC) is a skin disorder characterized by lichenification of the skin as a result of primary excessive scratching (). Male here - Initially diagnosed for scrotal eczema and later dermatologist diagnosed for Lichen Simplex Chronicus and prescribed Triamcinolone. I've always worn gotten boxers so not sure what it could be tbh but I'll request it. Lichen simplex chronicus (LSC) is a lichenified well-demarcated scaly plaque that is induced by chronic rubbing and/or scratching. For some people, the patch is also painful. Please call me or send photos using online consult option for proper examination diagnosis and treatment. This itchy patch often develops on an arm, leg, back of the neck, scalp, or groin area. Lichen simplex chronicus is not a primary process. arms, scrotum and shins, whereas. Damage to the nerves, e. . Lichen simplex chronicus (LSC) is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. Triamcinolone helped for little bit but it. The term lichenification is classed as a secondary skin lesion wherein the characteristic features of skin thickening, hyperpigmentation, and exaggerated skin lines are noted. Sometimes, seborrheic kertoses can itch. Diagnosis is by examination. Isolated hypertrophic lesions on the scrotum are rare phenomenon. 7%), lichen simplex chronicus 37(12. dry, sensitive skin. Vulval lichen simplex. 2 Other prurigo. Epub 2014 Mar 25. 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. 即使治疗成功，这种状况也往往会复发。. More than a skin disease: stress, depression, anxiety levels, and serum neurotrophins in lichen simplex chronicus. Poster. 4 Lichen simplex chronicus usually arises on normal-appearing skin. g. 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. The itch can occur anywhere on the body but is most commonly found on the arms, shoulders, elbows, legs, ankles, wrists, hands, back of the neck or scalp. 2015 Jul;29(7):1448-9. Treatment is directed at the initial cause of the itch and includes education. 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. Neurodermatit, kaldes også lichen simplex chronicus, ses på hudområder med varig kløe ofte uden tilgrundliggende hudsygdom. If you have been rubbing or scratching your skin a lot, the patch of skin can get thicker and may look like leather. Lichen simplex chronicus (also called ‘neurodermatitis’) is a chronic eczematous eruption of the skin that is the result of scratching (Fig. Lichen Simplex Chronicus Scrotum. Methods: We performed a prospective, open-label study of adult patients with scrotal lichen simplex chronicus over a period of 6 months from December 2011 to May 2012 in the Itch Clinic at the National Skin Centre, Singapore. “Tacrolimus ointment 0. Tacrolimus ointment 0. Lichen simplex chronicus can acquire a papulonodular appearance known as prurigo nodularis (Fig. It also has a strong association with atopy and is said to be initiated and perpetuated by the itch–scratch–itch cycle. Variants of LSC have been reported (giant. 1 is grouped within Diagnostic Related Group(s) (MS-DRG v 41. While many patients have a personal or family history of atopy, the mechanism by which an atopic diathesis results in the. Involvement of anogenital regions, such as the vulva, scrotum. Treatment. Diagnosis is by examination. Although LSC can occur anywhere on the body, genital LSC develops in association with genital itch, with the itch often described as intense and unrelenting. 2:1 to 2:1),. The intense itchiness comes and goes. Papadakis M. Lichenification can be further divided into primary and secondary types wherein primary lichenification signifies lichen simplex chronicus, also known. Lichen Simplex Chronicus. Vulvar dermatoses: lichen sclerosus, lichen planus, and vulval dermatitis/lichen simplex chronicus. Lichen simplex chronicus can present as a solitary lesion or as multiple lesions—usually in areas that are easy to reach. 78,666 satisfied customers. J Eur Acad Dermatol Venereol 2015; 29 (7): 1448-9. Surprisingly, biopsy suggested hypertrophic lichen planus (LP). Micrograph of 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. Lichenification refers to. 2017 Jul 24;5(4):556-7. Applying ice to the itchy areas can reduce the symptoms. 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 also has a strong association with atopy and is said to be initiated and perpetuated by the itch-scratch-itch cycle. Patients commonly reported sleep disturbances as a result of the. doi: 10. Lichen simplex is a chronic itchy skin disorder characterised by well demarcated, erythematous patches, and plaques of thickened leathery skin. 170 (4):890-4. The 2024 edition of ICD-10-CM L90. Plaque Psoriasis. [2,3] Terapi bedah jarang dilakukan dan hanya dilakukan saat medikamentosa tidak efektif. :58. [QxMD MEDLINE Link]. Lotti T, Buggaiani G, Prignano F. Poor circulation in legs (venous insufficiency). 5 In vulval clinics, it may comprise 10–35% of patients seen. No sclerosis or atypia is seen. Tan ES 1 , Tan AS 2 ,. 0 Lichen simplex chronicus L81. This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching. areas of swelling. Although LSC may be found on any body surface, the typical sites are the forearms, the nuchal area, the scrotum, and the shins. Apabila digaruk akan menimbulkan reaksi gatal yang semakin menjadi. Acta Derm Venereol. Thus, the diagnosis of dVIN should heavily rely on histopathologic features; in diagnostically challenging cases, normal (patchy) or non-contiguous nuclear staining with heterogeneous intensity would argue against dVIN. Lichen simplex chronicus can present as a solitary lesion or as multiple lesions—usually in areas that are easy to reach. ” Br J Dermatol. 1% in the treatment of. Erythema may be variable, and lesions may be solitary or multiple. This is known as lichen simplex chronicus (LSC). 6%) constituted the majority of cases. 5% and most commonly involves the labia minora. open, crusted. It looks for contact allergy; some people can present with just scrotal rash since the skin in much thinner there. Patients with atopy or atopic dermatitis are particularly susceptible, given their predisposition to itch. This is the American ICD-10-CM version of L90. Applying ice to the itchy areas can reduce the symptoms. Lichen simplex chronicus of the scrotum commonly presents as a pruritic, thickened, hyperkeratotic plaque with multiple parallel lines (lichenification) on the anterior scrotum, or as a papular thickening resulting from chronic itching or rubbing. Treatment of Lichen Simplex Chronicus Treatment of the cause of the itch Education and behavioral changes Corticosteroids (most often topical but sometimes injected intralesionally) Antihistamines You may develop several itchy spots, typically on the neck, wrists, forearms, legs or groin area. Additionally, the healthcare provider should be aware of the possibility of underlying allergic contact dermatitis from either an anogenital. The success is moderate. However, the incidence and prevalence have not been established properly. Razor burn from shaving your pubic hair. LP is inflammatory, papulosquamous disorder affecting either or all of the skin, mucous membrane, hair, and nail. In children, ecchymotic and bleeding could be a suspicion of sexual abuse (13, 136). However, despite its prevalence and burden, there has been limited research into the pathogenesis and aetiology of lichen simplex. pubis, scrotum and extensor sides of forearm. 1% in the treatment of scrotal lichen simplex. Lichen simplex chronicus One or more plaques with lichenification in an area that is easily scratched Potent topical steroids; help patient avoid scratching and picking at skinThe first sign of lichenification is hyperpigmentation, which is when the skin becomes darker than the skin around it. This website is intended for pathologists and laboratory personnel but not for patients. Lichen simplex chronicus of the scrotum or vulva is often caused by an itch signal initiated by sacral sensory neuron radiculopathy. Giant lichenification of Pautrier is an extreme form of lichen simplex chronicus of the scrotum resulting in a fissured, verrucous, and grossly thickened surface (Fig. 17. Effective treatment of scrotal lichen simplex chronicus with 0. 10,11 However, LSC mostly involves the fore-arms, scrotum and shins, whereas scalp localization isLichen simplex chronicus is an eczematous reaction with lichenified plaques arising from repeated scratching of an area. Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. This is the American ICD-10-CM version of L43. Swick; used with permission. 0 is a billable diagnosis code used to specify lichen simplex chronicus. Lichen simplex chronicus (LSC) of the anal region is characterized by massive pruritus, constant itching and a chronic course. 3, 4 The vulva, scrotum, and anus can also be affected. Medical College, Davangere-577 044, Karnataka, India. More pronounced skin lines. 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. Contact us at 260-450-1313 or visit us at 3919 W Jefferson Blvd. Each participant was administered the Hospital Anxiety and Depression Scale and Perceived Stress Scale questionnaires, along with a visual analog scale for pruritus. Lichen simplex chronicus is an itchy skin condition causing thickened skin at areas that have been injured by repeated scratching and rubbing. Plaques are most commonly found in areas that are easily. L90. The peak of incidence is between 35 and 50 years of age, and women are more affected than men (F:M = 2:1). Characteristically, there are well- demarcated, erythematous or hyperpigmented, thickened plaques affecting one or both sides of the vulva. 4). 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. Symptoms of neurodermatitis. Lichen simplex chronicus (LSC), also known as circumscribed neurodermatitis, is a common skin condition seen most frequently in adults. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. Levels of neurotrophins (brain-derived neurotrophic factor. Lichen simplex chronicus, and the related entity prurigo nodule, is a disease manifestation of persistent scratching. due toback injury, herpes zoster. Created for people with ongoing healthcare needs but benefits everyone. 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. In men, it typically involves uncircumcised genitalia ie, the glans (tip or head of the penis) and the prepuce (foreskin). Constant scratching (often during sleep) causes the skin to thicken. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus, becoming a self-perpetuating mechanism. 2 The site of the lesion is typically unilateral and reachable by the dominant hand. The itch can occur anywhere on the body but is most commonly found on the arms, shoulders, elbows, legs, ankles, wrists, hands, back of the neck or scalp. Diagnosed with lichen simplex chronicus. 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. 8 It is more prevalent in women than men (estimates of 1. Conditions that can lead to a scratch-itch cycle that can cause lichen simplex chronicus include: Insect bites. Background: Lichen simplex chronicus (LSC) is characterized by localized lichenification and intense itching. 0 - other international versions of ICD-10 L90. It most often affects skin areas that are easier to reach, such as the upper chest, arms, neck, legs. especially the scrotum, vulvua, or perianal area. Trusted Aesthetics serving Fort Wayne, IN. Cohen AD, Vander T, Medvendovsky E, Biton A, Naimer S, Shalev R, et al. 22 Causative factors include. Access to this feature is available in the following products: Find-A-Code Essentials. (See also. Short-term topical corticosteroids are used. The classical mucocutaneous manifestations include photosensitive dermatitis, Casal necklace, oral ulcers, cheilitis, glossitis, and scrotal/vulval dermatitis. Anogenital lichen simplex chronicus is a common condition. Scars. Created 2007. read more ) and the genital area (pruritus of the vulvae. 医务人员可能会建议进行以下一种或多种治疗：. Lichen simplex is also known as neurodermatitis, lichen simplex chronicus, and neurodermatitis circumscripta. PMID: 20885061. L28. Lichen simplex chronicus, which is also known as neurodermatitis, is a patch of skin that’s been lichenificated. Vulval lichen simplex. Medical College, Davangere- 577 044, Karnataka, India Correspondence Address: Nadiga Rajashekhar #215/1, 3rd Main Road, P. Differential diagnosis of tinea cruris includes. Lichen simplex chronicus involves a cycle in which scratching provokes itching, which provokes more scratching. Lichen simplex chronicus is the medical name for. Mortaki D, Mortakis A. Lichen simplex chronicus involves a cycle in which scratching provokes itching, which provokes more scratching. 3, 4 The vulva, scrotum, and anus can also be affected. Lichen simplex chronicus of the scrotum or vulva is often caused by an itch signal initiated by sacral sensory neuron radiculopathy. Scrotal eczema symptoms may include: intense itchiness. Figure 2a,b: Scrotal swellings: Depicting lichen simplex chronicus. Lichen Simplex Chronicus (LSC) is a skin change that is a result of chronic scratching or rubbing. Purpose: To evaluate the description of LSC patient and establishment diagnosis of LSC. e. It also has a strong association with atopy and is said to be initiated and perpetuated by the itch-scratch-itch cycle. Annals of the Academy of Medicine Singapore. We conducted a systematic review of the literature to evaluate treatments for LSC and provide. Lichenification ref. 5% of the Western European and American population. rough, thickened, leathery, or scaly skin. Lichen simplex chronicus is also known as neurodermatitis. A biopsy showed features consistent with lichen simplex. This term refers to a chronic itchy condition of the skin that appears to get worse with scratching. Lichen simplex chronicus (LSC) is an acquired, severely itching chronic dermatosis with circumscribed lichenified lesions, which are due to skin rubbing and scratching. 1 to 4 percent of the general population, most often in perimenopausal women. Stress may be a relevant factor. Re-establishment of the normal skin barrier. Patients with atopy or atopic dermatitis are particularly susceptible, given their predisposition to itch. Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. 1% tacrolimus ointment: an observational study. Lichen planus is an inflammatory, autoimmune disorder of the skin and mucous membranes. Skip to main content. Lichen Simplex Chronicus: Pathophysiology and Epidemiology. 11). L28. Another name for this is neurodermatitis. Lichen simplex chronicus may also be causative. Diagnosis is by examination. Lichen simplex is typically secondary to an underlying skin condition or neuropathy causing a severely itchy vulva. 001 for all) in 40 patients withLichen simplex chronicus is a secondary skin condition that occurs in response to severe pruritus, which drives an itch–scratch cycle. Intermittent itching incites the patient to scratch the. Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. 9 - other international versions of ICD-10 L43. Histopathological features were suggestive of chronic dermatitis. Lichen simplex of the scrotum is a pruritus form of dermatitis where excessive scratching or rubbing leads to lichenification. Lichen simplex chronicus of the anogenital region should be recognized; underlying atopic dermatitis may be present, and psychological stress as well as local irritants can aggravate this. Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. Neurodermatit, kaldes også lichen simplex chronicus, ses på hudområder med varig kløe ofte uden tilgrundliggende hudsygdom. Vulval lichen simplex. 2017 Jul 24;5(4):556-7. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus,. The high-tension, present-day living conditions offer a suitable soil and predisposition to the lesion. 1999 Mar-Apr;65(2):91-2. Lichen simplex chronicus (LSC) or neurodermatitis, is characterized by dry and patchy areas of the skin that tend to be thick and scaly. 0 Inflamed seborrheic keratosis. 12500. 30150 Telegraph Road, Suite 119, Bingham Farms, Michigan 48025 (USA) Telephone: (248) 646-0325; Email: [email protected] Eczema | Scrotal Dermatitis | Lichen Simplex Chronicus (LSC) Scrotal Eczema, also known as Scrotal Dermatitis, is a common skin condition that affects the scrotum. Lichen simplex can also form response to tch of dry skin or the iin a persistently scratched insect bite. Lichenification vs. [see Lichen sclerosus in men] 15% of patients know of a family member with lichen sclerosus. It is estimated to occur in approximately 0. M. Our patients had intractable scrotal pruritus, disfigurement and great distress for which no effective treatment could be found.