1998 May. This is a condition that occurs mainly in adults and in rare cases, it is seen in children. are some examples of low oxalate foods and beverages. However, other people can also develop the condition. Lichen simplex chronicus is often visible enough to cause patients to seek treatment. A relationship likely exists between central and peripheral neural tissue and inflammatory cell products in the perception of itch and ensuing changes in lichen simplex chronicus. (1) Lichen sclerosus causes changes in the skin that result in areas that look white, thin, and wrinkled. 46(3):165-72. Less painful and effective intralesional injection method for lichen simplex chronicus. 81-99. DermNet NZ Editor in Chief: A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand. 1997 Dec. 37(6):923-8. Lichen simplex chronicus is something that begins with an itch on an area of the skin and repeated skin itching thickens the area. 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. Pruritus may resolve, but some mild scarring and pigmentary changes remain after successful treatment. 762236-overview
Lichen sclerosus affects people of all ages, including children. Lichen simplex chronicus of the scrotum or vulva is often caused by an itch signal initiated by sacral sensory neuron radiculopathy. Thomas N Helm, MD Clinical Professor of Dermatology and Pathology, University of Buffalo, State University of New York School of Medicine and Biomedical Sciences; Director, Buffalo Medical Group Dermatopathology Laboratory Typisk for tilstanden er, at personen har kløe konstant, men ofte registrerer personen ikke selv den konstante kradsen og gnuppen på huden. Lichen simplex is also known as lichen simplex chronicus and neurodermatitis [1–3]. Jason Schoenfeld, MD Resident Physician, Department of Dermatology, University of Buffalo, State University of New York School of Medicine and Biomedical SciencesDisclosure: Nothing to disclose. Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K (eds). Kantor GR, Resnik KS. [Medline]. Lichen simplex chronicus is found on the skin in regions accessible to scratching. Kelekci HK, Uncu HG, Yilmaz B, Ozdemir O, Sut N, Kelekci S. Pimecrolimus 1% cream for pruritus in postmenopausal diabetic women with vulvar lichen simplex chronicus: A prospective non-controlled case series. Lichen simplex chronicus (LSC) is a lichenified well-demarcated scaly plaque that is induced by chronic rubbing and/or scratching. The Strongest Approach. Apply this paste on the affected skin and then leave it for about 15 minutes. Characteristically, there are well- demarcated, erythematous or hyperpigmented, thickened plaques affecting one or both sides of the vulva. [Medline]. [13]. A truly resourceful and supporting workbook which will help you reach your health goals in a short space of time. A Must Have! Die Therapie des Lichen simplex chronicus ist als Langzeitstrategie anzulegen! It may be associated with anxiety and depression. Lichen simplex of the vulva — codes and concepts, tricyclic antidepressants (such as amitriptyline), http://bestpractice.bmj.com/topics/en-gb/625, Insomnia or poor quality of sleep — sleep studies have revealed sleep disturbances due to scratching when asleep. Home Remedies for Various Health Problems, Neurodermatitis or Lichen Simplex Chronicus: Causes, Risk Factors, Investigations, Treatment, Home Remedies & Prevention, Scalp Psoriasis: Causes, Symptoms, Treatment, Prognosis, Home Remedies. Lichen simplex chronicus (LSC), which is also known as neurodermatitis, was diagnosed. 170 (4):890-4. 2004 Jul. Ising H, Lange-Asschenfeldt H, Lieber GF, Weinhold H, Eilts M. [Effects of long-term exposure to street traffic exhaust on the development of skin and respiratory tract diseases in children]. 1991 Dec. 25(6 Pt 2):1157-60. Lichen simplex can affect other parts of the body. Please confirm that you would like to log out of Medscape. Dermnet.com and the Dermnet Skin Disease Atlas are to be used only as a reference. For some people, the patch is also painful. Lichen simplex chronicus (LSC) is a skin condition caused by chronic itching and scratching. Take and crack one tablet of Vitamin C and mix it with one tablespoon of water to make a thick paste. Location, lesion morphology, and extent of the lesions influence treatment. Br J Dermatol. 10 (6):e0128869. It may start when something rubs, irritates, or scratches the skin, such as clothing. Therefore, this book will not only guide the reader in how to approach inflammatory dermatoses, it will also help with writing the report. All chapters are revised and updated and include new images. 2015 Sep. 58 (3):464-75. Khaitan BK, Sood A, Singh MK. Der er ikke tale om allergi. [Medline]. 1998 Sep. 17(3):182-8. Aloe vera gel is an excellent natural treatment to soothe dry and scaly skin. If you log out, you will be required to enter your username and password the next time you visit. Lichen simplex of the vulva. A truly resourceful and supporting journal which will help you to reach your health goals. A Must Have! It causes thin, white, patchy areas of skin that can be painful, tear easily, and itch. This book attempts to answer a wide range of day-to-day queries ? from the distress caused by depigmentation or baldness to the embarrass-ment of acne or unwanted hair. Full of helpful tips and expert guidance, this book is for everyone. Fundet i bogen – Side 23PROGNOSIS AND TREATMENT CLINICAL FEATURES Lichen simplex chronicus is an idiopathic condition in which scaly plaques are formed in response to repetitive rubbing of affected sites. Anatomic sites of predilection include the perianal and ... It is a big challenge, but you can surely do it. rivsår, insektsbett eller skavsår. Long-term exposure to street traffic exhaust has been associated with an increase in the frequency of childhood skin diseases, including lichen simplex chronicus. Neurodermatitis is a non-life-threatening skin condition involving itching and scratching, usually on just one or two patches of skin. Lichen simplex chronicus is more common in females. Boozalis E, Grossberg AL, Püttgen KB, Cohen BA, Kwatra SG. Int J Dermatol. 131 Lichen simplex chronicus Lacy L. Sommer, Christian R. Millett and Donald J. Baker Evidence Levels: A Double-blind study B Clinical trial ≥ 20 subjects C Clinical trial < 20 subjects D Series ≥ 5 subjects E Anecdotal case reports Lichen simplex chronicus (LSC, or neurodermatitis circumscripta) is characterized by pruritic, lichenified plaques that most often occur on the neck,… StatPearls [Internet]. 2018 Jun 26. Such treatments address altered immune system, treating the roots of this disease. Lichen simplex chronicus is a skin disease that causes repeated itching and irritation on the skin. Lichen simplex chronicus is a secondary skin condition that occurs in response to severe pruritus, which drives an itch–scratch cycle. Increased risk of lichen simplex chronicus in people with anxiety disorder: a nationwide population-based retrospective cohort study. 2018 Jan-Feb. 93 (1):108-110. J Am Acad Dermatol. All material on this website is protected by copyright, Copyright © 1994-2021 by WebMD LLC. Exaggerated skin markings termed “lichenification” are common. The feedback link “Was this Article Helpful” on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. It often follows this pattern: 1. Perrin's Blend. 136 Suppl 4:S129-36. Bolognia JL, Schaffer JV, Cerroni L (eds). This landmark text is dedicated to the conversation had between a primary care physician and a dermatologist that is a true reflection of the way medicine works when these physicians collaborate on the same case. Charifa A, Badri T. Lichen, Simplex Chronicus. Authors: Nicole S Kim, Medical Student, University of Toronto, Toronto, Canada; Dr Yuliya Velykoredko, Dermatology Resident, University of Toronto, Toronto, Canada. Can you pronounce this word better. 51(1):5-8. [9] xerosis, venous insufficiency, and asteatotic eczema are common factors. [Full Text]. Common sites of involvement are the posterior-lateral neck, the scalp, the extensor surfaces of extremities, and the ankles or lower legs [1–4]. Courtesy of San Antonio Uniformed Services Health Education Consortium Dermatology Program. A small study looking at lichen simplex chronicus and the use of PPD-containing hair dye showed clinically relevant improvement in symptoms after discontinuation of PPD exposure, thus providing a basis for the role of sensitization and contact dermatitis in the etiology of lichen simplex chronicus. An important dermoscopic feature of the disease are the … Several of the patients who cleared after avoiding paraphenylenediamine had widespread, not localized, dermatitis. 1998 Mar. Dermatology Pictures - Skin Disease Photos. [Medline]. [Medline]. Atlas of Male Genital Dermatology enables readers to quickly and successfully identify a variety of dermatological disorders that can affect the male genitalia. The person begins to rub or scratch the itchy area. scaling, excoriations and lichenification (increased skin markings and thickened skin) Severe cases may cause severe pain during sex. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. Fundet i bogen – Side 50Lichen simplex chronicus ( circumscribed neurodermatitis ) Definition Differential diagnosis Lichen simplex chronicus ( LSC ) is an extremely itchy localized chronic eczematous disorder which shows clinical and histological signs of ... Lichen simplex chronicus may become secondarily infected after excoriation. Itching at night: A review on reducing nocturnal pruritus in children. Discussing individual ways to change habitual scratching is helpful. Neurodermit. The doctor may also recommend one or more of the following: prescription medication, wet dressings, and counseling. The antipruritic effect of 5% doxepin cream in patients with eczematous dermatitis. Patients with atopy or atopic dermatitis are particularly susceptible, given their predisposition to itch. [Medline]. Betroffen sind leicht erreichbare Körperpartien, meistens die Beine, Arme, Hals, Oberkörper und der Analbereich. Lichen simplex chronicus (see comment) Comment: Sections demonstrate hyperkeratosis, focal parakeratosis, a thickened granular layer and marked acanthosis. PLoS One. Individuals who are already suffering from skin diseases like psoriasis, eczema or fungal infections, are more likely to get Lichen simplex chronicus. Neurotisk ekskoriation, som patienten måske ikke altid er be… Constant scratching (often during sleep) causes the skin to thicken. 46(4):617-9. Vulvar-vaginal disorders represent a field of growing interest in clinical, epidemiological and healthcare research. Lichen simplex chronicus is a skin problem that starts with a very itchy patch of skin. Diseases & Conditions, encoded search term (Lichen Simplex Chronicus) and Lichen Simplex Chronicus, Typical Contact Dermatitis Screening Misses Many Allergens, JAK Inhibitors Offer Hope for Hard-to-Treat Atopic Dermatitis but Carry Black-Box Warnings. LSC leads to scratching, which then causes more itching. DOI: 10.1111/j.1529-8019.2008.00168.x. If you have been rubbing or scratching your skin a lot, the patch of skin can get thicker and may look like leather. You may have this for weeks or months. 131 Lichen simplex chronicus Lacy L. Sommer, Christian R. Millett and Donald J. Baker Evidence Levels: A Double-blind study B Clinical trial ≥ 20 subjects C Clinical trial < 20 subjects D Series ≥ 5 subjects E Anecdotal case reports Lichen simplex chronicus (LSC, or neurodermatitis circumscripta) is characterized by pruritic, lichenified plaques that most often occur on the neck,… [5] A 2015 study showed that patients with lichen simplex chronicus have increased rates of clinical depression compared with patients without the condition. Den kaldes også for Neurodermatitis. 2020 Jan. 42 (1):29-34. The person will feel repeated itching and he would start scratching the area without his concern. It is also called lichen simplex chronicus. The exact cause of the disorder is currently unknown.… Plaque of lichen simplex chronicus of the leg with accentuated skin markings and excoriations. Lichen simplex. Weyers W, Weyers I, Bonczkowitz M, Diaz-Cascajo C, Schill WB. Eczema/LSC of the genital area most often affects the scrotum of men, the Contact Allergens in Medical Devices: A Cause for Concern? Alternative Names. In 95% of cases it occurs in childhood before age 5, though an adult-onset variant is recognized. Ball SB, Wojnarowska F. Vulvar dermatoses: lichen sclerosus, lichen planus, and vulval dermatitis/lichen simplex chronicus. lichen simplex chronicusの意味や使い方 慢性単純性苔癬; ビダール苔癬 - 約1174万語ある英和辞典・和英辞典。発音・イディオムも分かる英語辞書。 LSC may occur in people who have: Skin allergies; Eczema (atopic dermatitis) Psoriasis; Nervousness, anxiety, depression, and other emotional problems Treatment is aimed at reducing pruritus and minimizing existing lesions because rubbing and scratching cause lichen simplex chronicus. [1, 2]. Lichen simplex chronicus (LSC), also known as neurodermatitis circumscripta, is an itchy skin condition causing thickened skin at the areas of skin injured by repeated scratching and rubbing. Symptomer … Lotti T, Buggiani G, Prignano F. Prurigo nodularis and lichen simplex chronicus. Burkhart CG, Burkhart CN. The location of lichen simplex is not random, as some body sites are particularly commonly affected. It is true that sub-consciously your hands move and scratch the affected area. Gegen den Juckreiz können Antihistaminika eingesetzt werden. Other treatment recommendations include those below [2–5]. The reason this condition is so common is because a lot of creams, douches, laundry detergent and so on can come in contact with the vulva across … 1108312-overview
2008 Apr 11. Lichen Simplex Chronicus Definition Lichen simplex chronicus is a chronic inflammation of the skin (dermatitis) characterized by small, round itchy spots that thicken and become leathery as a result of scratching. What is Plaque Psoriasis & How is it Treated? This bestselling dermatology manual provides full-color photographs, step-by-step instructions, and easy-to-follow algorithms for diagnosis and treatment of all common skin conditions. 2014;170:890. As recurrences occur during psychological stresses or with the flare-up of underlying dermatoses, long-term management may be required in some patients [4]. 2009 Apr. Characteristically, there are well-demarcated, erythematous or hyperpigmented, thickened plaques affecting one or both sides of the vulva. Årsagen til sygdommen er ukendt, men eksemet kan udløses og forværres af stress. The true nature was revealed when the patient admitted to rubbing this area while watching television. Lichen amyloidosus: a consequence of scratching. Semin Cutan Med Surg. The effect of topically applied aspirin on localized circumscribed neurodermatitis. A white patch (lichen sclerosus) on the foreskin. [Medline]. Stephen H Mason, MD is a member of the following medical societies: American Academy of Dermatology, American College of Mohs Surgery, American Society for Dermatologic Surgery, Women's Dermatologic Society, Skin Cancer FoundationDisclosure: Nothing to disclose. Ann Dermatol Venereol. Lichen simplex chronicus is not a primary process. To stop the stubborn itch-scratch style, the person must stop scratching the affected area. Daniel J Hogan, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Contact Dermatitis Society, Canadian Dermatology AssociationDisclosure: Nothing to disclose. [15] Touch and emotional stress also may provoke pruritus, which is relieved by moderate-to-severe rubbing and scratching. Lichen simplex chronicus is not a primary process. When this condition occurs as nodules, it is called prurigo nodularis. Dermatol Ther 2008; 21: 42–6. Lichen Simplex Chronicus er en type eksem, som ofte findes på huden på de ydre kønsdele. Lichen simplex chronicus frequently occurs in people with anxiety disorders and nonspecific emotional stress. Contact Dermatitis. Let the cold compress absorb your body’s temperature. Note the characteristic hyperkeratosis, hypergranulosis, pseudoepitheliomatous hyperplasia, and papillary dermal fibrosis. Allergic contact dermatitis from hair dye and development of lichen simplex chronicus. Complications of lichen simplex of the vulva may include [2]: Adverse effects from treatment can also arise, particularly atrophy due to the extended use of a potent topical corticosteroid on vulval skin. You will never miss a moment now and remain focused on your goals. We wish you all the best. The Health Formation Team 2009 Mar 7. Fundet i bogen – Side 29CHRONIC DERMATIDITES LICHEN SIMPLEX CHRONICUS Clinical features Lichen simplex chronicus manifests as thick, scaly plaques arising after multiple cycles of rubbing and scratching in response to pruritus. The areas most frequently ... Weyers W. [Lichen amyloidosus--disease entity or the effect of scratching]. Messikh R, Atallah L, Aubin F, Humbert P. [Botulinum toxin in disabling dermatological diseases]. Other commonly observed features include: Signs of an underlying skin disorder may also be noted adjacent to the lichen simplex of the vulva and/or on another body site. Yosipovitch G, Sugeng MW, Chan YH, Goon A, Ngim S, Goh CL. [Medline]. Note that this may not provide an exact translation in all languages, Home Liao YH, Lin CC, Tsai PP, Shen WC, Sung FC, Kao CH. Dermatol Ther. DermNet provides Google Translate, a free machine translation service. [Medline]. New York: McGraw-Hill, 2012. 28 words related to lichen: disease of the skin, skin disease, skin disorder, lichen planus, lichen ruber planus, division Lichenes, Lichenes, ascolichen.... What are synonyms for Lichen simplex chronicus? Fundet i bogen – Side 132Lichen simplex chronicus presents with a circumscribed, chronic, inflammatory, severely pruritic thickened skin complicating prolonged and severe scratching in patients with no underlying dermatological condition. Available at: Lynch PJ. DOI: 10.1111/j.1396-0296.2004.04002.x. Overall, pruritus of lichen simplex chronicus is mild to moderate, but paroxysms may occur that are relieved by moderate-to-severe rubbing and scratching. 2015. Lichen simplex chronicus frequently persists as an itch-scratch cycle, even when environmental triggers are removed and the underlying disease is treated. Brunner N, Yawalkar S. A double-blind, multicenter, parallel-group trial with 0.05% halobetasol propionate ointment versus 0.1% diflucortolone valerate ointment in patients with severe, chronic atopic dermatitis or lichen simplex chronicus. Pediatr Dermatol. Questa malattia è caratterizzata da un'intensa sensazione pruriginosa che, a lungo andare, determina delle alterazioni della pelle, quali secchezza, desquamazione, discromie e … Et velafgrænset kløende hudområde 2. Soothing creams and acupuncture at the site of the lesions are also used for calming down the hyper-irritable itch response of the local nerve endings. Lesions cause little direct morbidity; however, occasionally patients report decreased or interrupted sleep, which affects motor and mental functioning. Objectives. Lichen simplex chronicus is a chronic inflammation of the skin characterized by small, round itchy spots as a result of repeated scratching and rubbing. [Medline]. Prurigiform Angiomatosis: Reactive Angioproliferation in the Skin and Vascular Endothelial Growth Factors. Cohen KR. Stephen H Mason, MD 2002
[8] ), acne keloidalis nuchae, Applying moisturizers can control some of the urges of itching. Written by an expert medical pathologist, with actual patient commentary, this book is an invaluable resource for anyone coping with the physical and emotional turmoil of this frightening disease. Lichen simplex of the vulva runs a chronic clinical course with exacerbations and remissions. Lesions may clear completely. Lichen simplex chronicus is een chronische, sterk jeukende, niet besmettelijke huidaandoening, veroorzaakt door herhaaldelijk en dwangmatig krabben aan de huid. 1998 Oct. 39(4 Pt 1):661. Many people find that having this condition can be stressful. Lichen simplex chronicus, also known as neurodermatitis, is a relapsing, inflammatory, pruritic and eczematous skin disorder. Huden fremstår licheniseret (forkradset og fortykket) i området 3. Lichen Simplex Chronicus Treatment. 2009 May. 79(3):243. Liao YH, et al. Lichen simplex chronicus is … Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. Neurodermatitis is a non-life-threatening skin condition involving itching and scratching, usually on just one or two patches of skin. [7] thus providing a basis for the role of sensitization and contact dermatitis in the etiology of lichen simplex chronicus. Acta Derm Venereol. Acne keloidalis is lichen simplex chronicus with fibrotic keloidal scarring. Insect bites, scars (eg, traumatic, postherpetic/zoster Homeopathic treatments could also be followed to treat Lichen simplex chronicus. Lichen simplex can affect any age group, but is most common in adults and is Courtesy of San Antonio Uniformed Services Health Education Consortium Dermatology Program. Der er ofte tale om yngre voksne eller sjældnere midaldrende som rammes af dette eksem. Lichen simplex chronicus (LSC) is a skin condition caused by chronic itching and scratching. The possible causes of lichen simplex chronicus are :- The main cause of it comes, when something that rubs, irritates, or scratches the skin, such as clothing. Psychological factors may contribute to both the development and persistence of LSC. [Medline]. [Medline]. [10, 11, 12] A 2014 study demonstrated an increased prevalence of lichen simplex chronicus in patients with underlying anxiety and obsessive-compulsive disorder compared with age- and sex-matched controls. Arch Dermatol. The clinical features of vulval lichen simplex are generally sufficient to establish the diagnosis. As the condition improves, the application frequency and potency of the corticosteroid should be decreased to minimise the adverse effects. Vulvar Dermatoses: A Review and Update. Lichen simplex chronicus. Silk or cotton fabric underwear can be less irritating to vulval skin than. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Since medical treatments may include high strength steroid creams, it is essential to be monitored under supervision so as to avoid more serious side effects like, skin cancer. Hyperpigmented, lichenified plaque with accentuated skin lined caused by repeated rubbing of the area. Lichen (LY-kin) simplex chronicus (kro-ni-kus) is a skin condition caused by long term irritation of the vulva. This will provide you relief from Lichen Simplex Chronicus naturally. In the oral cavity, it may go … There may be a solitary plaque or multiple coalescing plaques or papules. See smartphone apps to check your skin. Lichen simplex chronicus on the scalp: exuberant clinical, dermoscopic, and histopathological findings. Lichen simplex chronicus (LSC) is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. Pre-existing itch or pruritic conditions induce habitual scratching, which gives rise to histological acanthosis (thickening of the epidermis) and hyperkeratosis (thickening of the stratum corneum). Topical steroids can also cause pigmentation abnormalities [3]. Il lichen simplex cronico è un' infiammazione cutanea che si presenta in seguito a ripetuti sfregamenti, graffi e traumi meccanici. Lichen simplex chronicus (LSC) is thickening of the skin with variable scaling that arises secondary to repetitive scratching or rubbing. Lichen simplex chronicus. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Klåda ger rivning som ger ännu mer klåda. Discontinue using soap and non-prescribed topical products, and avoid using wet wipes. Psychiatric disorders, such as depression, anxiety, or obsessive–compulsive disorder, should be treated with appropriate pharmacotherapy (eg. So, you can take a clean cloth and soak it in some cold water and then place the cloth on the affected area of the skin for at least 30 minutes. On the scalp, it appears as a single or multiple oval lesions, showing scaling and hair shaft loss or breakage. Smaller discreet areas may appear as prurigo nodularis. P & T. 2012;37:227. Atopic dermatitis results in a higher probability of developing lichen simplex chronicus. Lichen simplex is typically secondary to an underlying skin condition or neuropathy causing a severely itchy vulva. Glycerine softens and hydrates the skin, the tea tree oil is antiseptic and aloe vera gel soothes the itching and heal the affected skin. Fitzpatrick’s dermatology in general medicine, 8th edn. Cover the affected areas with bandages that can help protect the skin and prevent scratching. a skin condition that is itchy that will eventually caused the skin to becomethickened due to repeated scratching and rubbing in the affected area. Relapse is more likely in periods of psychic stress or if previously affected skin is stressed by extremes of heat or humidity or by skin irritants or allergens. It is the result of ongoing, chronic rubbing and scratching of the skin in localized areas. Lichen simplex chronicus, also known as neurodermatitis, is a relapsing, inflammatory, pruritic and eczematous skin disorder. Jung HM, Eun SH, Lee JH, Kim GM, Bae JM. Many doctors call it an "itch-scratch cycle." [Medline]. Lichen sclerosus and lichen simplex chronicus often can be managed with treatment. Muylaert BPB, Borges MT, Michalany AO, Scuotto CRC. [Medline]. Fundet i bogen – Side 73Also known as neurodermatitis , lichen simplex chronicus is a common , chronic , often solitary , pruritic eczematous eruption caused by repetitive rubbing and scratching . It is seen most commonly in adults , particularly in patients ... In one study, 12% of aging patients with pruritic skin had lichen simplex chronicus. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. Datz B, Yawalkar S. A double-blind, multicenter trial of 0.05% halobetasol propionate ointment and 0.05% clobetasol 17-propionate ointment in the treatment of patients with chronic, localized atopic dermatitis or lichen simplex chronicus. 1996 Mar. This article may contains scientific references. This highly regarded atlas has been revised and updated, with 60 new colour illustrations highlighting key clinical points. [Medline]. It may be associated with other atopic diseases. It is generally seen in patients greater than 20 years of age and is more frequent in women. It is characterized by small, intensely pruritic papules.The skin eruption is created by habitually scratching a certain area over a long period of time. Neurodermatitis is a term that historically has been used interchangeably with lichen simplex chronicus, given that psychological factors appear to play a role in the development or exacerbation of the condition. DermNet NZ does not provide an online consultation service. Cold compresses can help in reducing redness, stop the itching and cool the skin. Heckmann M, Heyer G, Brunner B, Plewig G. Botulinum toxin type A injection in the treatment of lichen simplex: an open pilot study.