It looks for contact allergy; some people can present with just scrotal rash since the skin in much thinner there. A dampness coming from the outer vulvar skin can also be experienced, and it is important. [QxMD MEDLINE Link]. Lichen Planus. Genital lichen simplex chronicus. 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. Vulvar lichen simplex chronicus is a chronic eczematous disease characterized by intense and unrelenting itching and scratching. 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. Damage to the nerves, e. Psychogenic parasitosis results from a fixated belief that one is infested. A skin condition called neurodermatitis (lichen simplex chronicus) starts with a patch of itchy skin. Lichen simplex chronicus. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. Coyle Connolly answered. Several factors are responsible for the. D. Clinically, it manifests as red to hyperpigmented to white plaques with. 1% in the treatment of scrotal. Neurodermatitis — also known as lichen simplex chronicus — is not life-threatening or contagious. Isolated hypertrophic lesions on the scrotum are rare phenomenon. Neck, elbow, ankles, vulva, eyelid even faces are the most. Size ranges from pinpoint to larger than a centimetre. Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. 1% ointment twice daily, or for severe. This gradual thickening of skin is called lichenification. There is evidence to suggest that neurological abnormalities may be implicated in its aetiology and the main cause of lichen simplex chronicus is not known, but there are also concerns about its possible role in human health. Trusted Aesthetics serving Fort Wayne, IN. S. More pronounced skin lines. Basic skin lesions divide into primary, secondary, and special types. Lichen simplex chronicus (LSC) is one of the most common causes of vulvar pruritus and is seen in patients of all ages. Type 2 Excludes. 10, 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. See moreTreatment of Lichen Simplex Chronicus Treatment of the cause of the itch Education and behavioral changes Corticosteroids (most often topical but sometimes injected intralesionally) AntihistaminesYou may develop several itchy spots, typically on the neck, wrists, forearms, legs or groin area. Lichen simplex chronicus (LSC) is a lichenified well-demarcated scaly plaque that is induced by chronic rubbing and/or scratching. This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching, which Histopathological features were suggestive of chronic dermatitis. Springer, Cham. Lichen simplex chronicus is a typical example of a habit leading to a dermatological problem. Lichen simplex chronicus involves a cycle in which scratching provokes itching, which provokes more scratching. Introduction. 17 The scrotal skin shows thickening, hypo or hyperpigmentation, sparse hair, and clearly defined margin. Lichen simplex chronicus is not a primary disease but rather the skin’s response to chronic physical injury / trauma. doi: 10. Background. This cycle can be difficult to break. This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching. 多块粗糙、红肿或颜色比其他部位皮肤更深的凸起斑片. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. The management of lichen simplex chronicus is divided into four categories: identification of any underlying disease, repair of the barrier. The scrotum is a favorite site of lichen simplex chronicus. Characteristically, there is well- demarcated, erythematous or hyperpigmented plates with marked thickening of the skin on one or both sides of the scrotum. Basic skin lesions divide into primary, secondary, and special types. Abstract. 0 Lichen simplex chronicus L81. Dr. A single or multiple plaque (thickened area of skin) of rough skin forms, with more markings and sometimes little bumps around the hair follicles. Diagnosis is by examination. Lichen simplex chronicus. Symptoms of lichen simplex chronicus. Prurigo nodularis and lichen simplex chronicus. Lichen simplex chronicus on the scalp: exuberant clinical, dermoscopic, and histopathological findings. Involvement of anogenital regions, such as the vulva, scrotum. 5 In vulval clinics, it may comprise 10–35% of patients seen. 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. Lichen simplex chronicus usually appears as a solitary patch or plaque with a round or oval pattern. Scratching the itchy patch of skin is what causes the rash. 10,11 However, LSC mostly involves the fore-arms, scrotum and shins, whereas scalp localization isPrurigo nodularis causes itchy bumps on the skin, which appear when someone repeatedly scratches, picks at, or rubs their skin. (See also. Neurodermatit, kaldes også lichen simplex chronicus, ses på hudområder med varig kløe ofte uden tilgrundliggende hudsygdom. J Eur Acad Dermatol Venereol 2015; 29: 1448–9. sense of well-being. It also has a strong association with atopy and is said to be initiated and perpetuated by the itch–scratch–itch cycle. It may cause itching, burning, and/or thickened skin. 8 It is more prevalent in women than men (estimates of 1. 0 is a billable diagnosis code used to specify lichen simplex chronicus. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. Lichen Simplex Chronicus (LSC) is a chronic skin disease characterized by lichenified plaques, which occur as result of constant scratching or. Lichen Simplex Chronicus (LSC) is a skin change that is a result of chronic scratching or rubbing. [see Lichen sclerosus in men] 15% of patients know of a family member with lichen sclerosus. It also has a strong association with atopy and is said to be. Anogenital lichen simplex chronicus is a common condition. 6 Patients can present with a single lesion or have multiple sites of involvement. Lichen simplex chronicus is found on the skin in regions. 2013;68(4) supp. ) Doctor. 1 Prurigo nodularis L56. Lichen simplex chronicus. Lichen simplex chronicus (LSC) is one of the most common causes of vulvar pruritus and is seen in patients of all ages. Lichen sclerosus is a chronic (life-long) condition. Isolated hypertrophic lesions on the scrotum are rare phenomenon. This is the American ICD-10-CM version of L90. Differential diagnosis of tinea cruris includes. Treatment is directed at the initial cause of the itch and includes education. The condition most commonly affects women between the ages of 30 and 50. You might note that this practice usually increases the sensation of itching, which causes more scratching and rubbing, and so on. Neurodermatitis begins with an itchy patch of skin. Diagnosis is by examination. Plaque Psoriasis. . TSH, free T4, serum creatinine, BUN, electrolytes, LFT, gamma-GT and CBC were. Background: Lichen simplex chronicus (LSC) is an eczematous disease caused by cell-mediated autoimmune inflammation that presents as an erythematous and distressingly pruritic area that develops into a thickened, indurated, and atrophic area. However, the incidence and prevalence have not been established properly. 38). Lichen sclerosus. read more ) and the genital area (pruritus of the vulvae. Abstract. 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. [1] It typically affects the neck, scalp, upper eyelids, ears, palms, soles, ankles, wrists, genital areas and. Reducing stress, or finding ways to cope. Lichenification can be further divided into primary and secondary types wherein primary lichenification signifies lichen simplex chronicus, also known as neurodermatitis circumscripta. 11). Definition. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus. Lichen simplex chronicus can present as a solitary lesion or as multiple lesions—usually in areas that are easy to reach. Diagnosis is by examination. Lichen simplex chronicus. When it begins in the groin area, it tends to develop on the anus, scrotum, or vulva. It most often affects skin areas that are easier to reach, such as the upper chest, arms. J Eur Acad Dermatol Venereol. Excerpt from my Inflammatory Dermpath 101 video (full video here: - A Beginner's Guide to Diagnosing Rashes for Non-Dermatopat. About 1 in 8 people have neurodermatitis. Lichen simplex chronicus, also known as neurodermatitis, results from chronic rubbing or scratching of eczematous disorders such as atopic or contact dermatitis, though some cases are idiopathic. However, there has been a report of disease recurrence after surgical excision of a plaque of lichen simplex chronicus, 5 which suggests that unknown and more profound factors are responsible for the affliction. Scratching the itchy patch of skin is what causes the rash. Treatment is directed at the initial cause of the itch and includes education. Other differential diagnoses in VLS are lichen simplex chronicus, contact dermatitis, psoriasis, morphea, leukoplakia, extramammary Paget diseases, mucous membrane pemphigoid and vulvar intraepithelial neoplasia. 5 We report a case of PD presenting with diffuse palmoplantar keratoderma (PK), which is hitherto unreported. 1 On the scalp, it manifests itself as a single or multiple oval lesions, with scaling, causing hair loss or. Access to this feature is available in the following products: Find-A-Code Essentials. Lichen simplex chronicus of scrotum. PMID: 36250769 PubMed. Neurodermatitis around an ankle. References 1 Nakazato Y, Tamura N, Ohkuma A, Yoshimaru K, Shimazu K. The condition most commonly affects women between the ages of 30 and 50. Lichen simplex chronicus is seen most commonly in people with eczema. Introduction S crotal dermatitis is characterized by severe itching, erythema, scaling and lichenification of the scrotal skin. LP is inflammatory, papulosquamous disorder affecting either or all of the skin, mucous membrane, hair, and nail. Thickening of the skin. Iymphangiectasia of the scrotum. 1 Prurigo nodularis L90. LSC can be a difficult condition to treat, causing frustration in both the patient and physician. ” [Open Access] Maced J Med Sci. 0 L280^00 Figure 10-(1)-13. If I suffered Lichen simplex chronicus at my genital area. Figure 2: FDE: Erosion over glans. Lichen simplex chronicus (LSC; also known as neurodermatitis) is a common cutaneous disorder characterized by well-circumscribed erythematous, often hyperpigmented, plaques of thickened lichenified skin. Lichen simplex chronicus (LSC) is a psychogenic pruritic disorder (PPD) or neuro-dermatitis, which leads to chronic scratching and. Pill ID Calculators Tables CME Lichen simplex chronicus Highlights & Basics History & Exam resistant to high-potency topical and intralesional corticosteroids. arms, scrotum and shins, whereas. Scrotal involvement is usually absent or slight; by contrast, the scrotum is often inflamed in candidal intertrigo or lichen simplex chronicus. 1. 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. The peak of incidence is between 35 and 50 years of age, and women are more affected than men (F:M = 2:1). Treatment with topical clobetasol propionate, intralesional triamcinolone and systemic doxepin, doxycycline, cetirizine and prednisolone 40 mg improved neither the symptoms nor the clinical appearance. D. 12500. History and PE; Diagnosis of exclusion; r/o candidiasis and tinea cruris (genital) Lichen Simplex Chronicus Treatment. Neurodermatitis atau yang dekenaal dengan nama Lichen Simplex Chronicus adalah penyakit kulit kronis yang diawali dengan rasa gatal yang berlebihan pada bagian tubuh tertentu. It is found in the 2022 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2021 - Sep 30, 2022 . Razor burn from shaving your pubic hair. The root of the disorder may be both a primary symptom. Lichen Simplex Chronicus Scrotum. LSC (circumscribed neurodermatitis) is characterized by a central lichenificated plaque thickened and often hyperpigmented, usually surrounded by lichenoid papules and, along the borders with. The constant nature of the scratching results in thick, leathery skin with a brownish discoloration. This includes the nape and sides of the neck, extensor surfaces of the forearms and elbows, inner thighs, lower legs, and ankle flexures. areas of swelling. 1% tacrolimus ointment: An observational study. 即使治疗成功，这种状况也往往会复发。. 出血的开放性疮口. If eczema affects an area of the vulva called the vestibule (the smooth skin next to the vaginal opening and upward toward the clitoris), it may cause stinging and. Objective: The aim of this double-blind, crossover placebo. L28. 4103/0378-6323. The lesions are very pruritic and the condition may occur in any age group. Lichen simplex chronicus is a chronic dermatitis caused by repeated skin scratching and/or rubbing. inflamed, scaly skin. vulva and scrotum, upper medial. Lichen sclerosus showed superimposed lichen simplex chronicus in 3 cases (10%). The 2024 edition of ICD-10-CM L28. I also had pelvic ultrasound as I. vulva, scrotum, and extensor region of the upper limbs. 7 The cause of LSC is unknown. Breaking the itch-scratch cycle, often with topical steroids, is the. Lichen simplex chronicus. For some people, the patch is also painful. 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. Neurodermatitis can occur anywhere you can reach to scratch, but is most common on the feet, ankles, hands, wrists, elbows, shoulders, neck and scalp. Bartholin cysts present as nontender fluctuant masses at. As the condition worsens, other symptoms associated with lichenification can develop, such as: Small, raised bumps on the patch of skin affected. 22 Causative factors include. due to back injury, herpes zoster infection (shingles) or stroke can lead to lichen simplex. Patients with atopy or atopic dermatitis are particularly susceptible, given their predisposition to itch. Lichen simplex chronicus L28. 1% in the treatment of. Neurodermatitis, also known as lichen simplex chronicus, is a type of eczema. 4 In chronic“Lichen simplex chronicus as an essential part of the dermatologic masquerade. ” J Am Acad Dermatol. LSC is commonly seen between ages 35 to 50 years of age, affecting approximately 12% of the population in the world where women are more affected than men [ 1 ]. Differential diagnostic considerations include verrucous lichen. 0 Lichen simplex chronicus. Untuk membantu meredakan gejala, ada beberapa upaya yang dapat dilakukan secara mandiri di rumah, yaitu: Jangan menggosok dan menggaruk kulit yang gatal. Epub 2014 Mar 25. Spoke to a dermatologist at the end of August who prescribed me mometasone (apply once daily wrap clingfilm on the scrotum so it doesn't come off on my boxers) . Lichen simplex is also known as lichen simplex chronicus and neurodermatitis. 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. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin. A prescription drug, Protopic ointment is another alternative. A biopsy showed features consistent with lichen simplex. Lichen simplex chronicus manifests as persistent itching and scratching of the vulvar skin that leads to thickened epithelium. This helps the cream soak into the skin. 8%), whereas in females. The most commonly involved sites include the scalp and neck, groin (scrotum or vulva), forearms, shins, or ankles. Lichen simplex chronicus can acquire a papulonodular appearance known as prurigo nodularis (Fig. Den vedvarende manipulation af huden, skaber en kronisk inflammation i huden. Contributed by Dr. Lichen simplex chronicus is a cutaneous disorder characterized by lichenification of the skin as a result of intense excoriation secondary to excessive primary pruritus,. (neurodermatitis) thickened eczematous skin that develops at the site of constant rubbing in susceptible individuals. 5% and most commonly involves the labia minora. 皮肤厚而粗糙. Please call me or send photos using online consult option for proper examination diagnosis and treatment. M. . Lotti T, Buggaiani G, Prignano F. When you scratch often, it affects your skin. 1% tacrolimus ointment: an observational study J Eur Acad Dermatol Venereol. 2 Lichen planus can appear at any age. The initial pruritus may be caused by atopy, or a number of underlying systemic illnesses such as. Lichen simplex chronicus is a skin disease that mostly affects female patients, with a peak incidence between ages 35 and 50 years. It may be a complication of atopic dermatitis. Note that this may not provide an exact translation in all languagesLichen 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. Lichen simplex can affect any age group but is. T able 1 : Scrotal Swellings: Angioedema and Lichen simplex chronicus (LSC). Diagnosis is by examination. Pubic lice (or crabs). 6 Patients can present with a single lesion or have multiple sites of involvement. 78,666 satisfied customers. Lichenification refers to. LSC leads to scratching, which then causes more itching. . Purpose: To evaluate the description of LSC patient and establishment diagnosis of LSC. 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. Ætiologi og patogenese. Lichen simplex chronicus is the medical name for. Background: Lichen Simplex Chronicus (LSC/circumscribed neurodermatitis) is a skin abnormality disease with complaint of very itchy and chronic condition, marked with one or many lichenified plaques of thickening skin surface similar to tree's skin appearence. Fixed drug eruption, angiokeratoma of Fordyce, lichen sclerosus et atrophicus etc. L28. From: lichen simplex chronicus in Concise Medical Dictionary ». If the appearance is not diagnostic, a potassium hydroxide wet mount is helpful. L28. Lichenification ref. Other vulvovaginal disorders such as vaginitis, vulvar low-grade. These patches are intensely pruritic, which causes the patient. Treatment. Lichen simplex chronicus is chronic, itchy inflammation of the top layer of the skin caused by repeated scratching, rubbing, or both. MLA Citation "Lichen Simplex Chronicus. Lichen simplex is more common in people who feel anxious or stressed. The skin becomes dry, scaly, and hyperpigmented. Lichen Simplex Chronicus (LSC) is a chronic skin disease characterized by lichenified plaques, which occur as result of constant scratching or rubbing of skin. An association between lichen simplex chronicus (LSC) and sexual dysfunction was explored. 1, page AB38. Morrissey, in Pathobiology of Human Disease, 2014 Lichen Simplex Chronicus Clinical Overview. 1 Prurigo nodularis . prevalence is ∼0. Topical corticosteroids such as Hydrocortisone 1% can be helpful. Dermatologists refer to this itching and scratching as the itch-scratch-itch cycle. Co-existing papules may also be observed ( prurigo nodularis), as may. e. read more ) and the genital area (pruritus of the vulvae. In children, ecchymotic and bleeding could be a suspicion of sexual abuse (13, 136). Lichen sclerosus is ten times more common in women than in men. , & McPhee S. This scratching leads to the. L28. Tan ES, Tan AS, Tey HL. More severe nodular lichen simplex of scrotum has been described with a “cobblestone” or “pineapple skin” appearance . 0) dermatitis herpetiformis (L13. Lichenification presents as a thick patch, or plaque, of skin in one or more locations on the body. Apabila digaruk akan menimbulkan reaksi gatal yang semakin menjadi. 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. Br J Dermatol. PubMed. Vulvar dermatoses: lichen sclerosus, lichen planus, and vulval dermatitis/lichen simplex chronicus. Various. Lichen simplex chronicus is a secondary skin condition that occurs in response to severe pruritus, which drives an itch–scratch cycle. Often, an. Scrotal Lichen Simplex Chronicus . It seems to me that you have two separate conditions: lichen simplex chronicus and something else: probably seborrheic keratoses. Allergies or an allergic reaction. The classical mucocutaneous manifestations include photosensitive dermatitis, Casal necklace, oral ulcers, cheilitis, glossitis, and scrotal/vulval dermatitis. Contact allergic dermatitis: Serious allergens in male genital itching are clothing; underwear and its additives e. InVulvar Disease 2019 (pp. 10 , 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. Lichen simplex chronicus, and the related entity prurigo nodule, is a disease manifestation of persistent scratching. 10, 11 However, LSC mostly involves the forearms, scrotum and shins, whereas scalp. 0 became effective on October 1, 2023. Treatment for lichen sclerosus depends on how severe your symptoms are and where it is on your body. A single or multiple plaque (thickened area of skin) of rough skin forms, with more markings and sometimes little bumps around the hair follicles. All subjects were instructed to apply 0. It is estimated to occur in approximately 0. 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. 8 It is more prevalent in women than men (estimates of 1. 17. Surprisingly, biopsy suggested hypertrophic lichen planus (LP). Dermacase. Background: To evaluate efficacy and safety of pimecrolimus cream 1% twice daily for treatment of vulvar lichen simplex chronicus. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). Request a. Scrotal dermatitis 46(15. LP is inflammatory, papulosquamous disorder affecting either or all of the skin, mucous membrane, hair, and nail. Symptoms of neurodermatitis. “Lichen simplex chronicus as an essential part of the dermatologic masquerade. Lichen simplex chronicus is a form of chronic localized pruritus with a secondary dermatitis, and one of the most common types of chronic itch conditions, estimated to affect more than 10% of the general population. INTRODUCTION. Lichen simplex chronicus. Lichen simplex chronicus is a localized disorder characterized by pruritus that leads to thickened, lichenified, violaceous patches. Shyam Verma, MBBS, DVD, FRCP, FAAD, Vadodara, IndiaLichen simplex describes a response to the skin being repeatedly scratched or rubbed over a long period of time (also called lichen simplex chronicus). read more. Especially dark colors can cause allergic reactions, as well as fragrances in moist toilet papers or detergents. While many patients have a personal or family history of atopy, the mechanism by which an atopic diathesis results in the. 1% topical tacrolimus significantly decreased mean itch scores, itch frequency, and overall affected surface area after treatment (p<. Lichen simplex chronicus (LSC) is an acquired, severely itching chronic dermatosis with circumscribed lichenified lesions, which are due to skin rubbing and scratching. , Ste. Lichen simplex chronicus (LSC) of the anal region is characterized by massive pruritus, constant itching and a chronic course. 2:1 to 2:1),. Itching vagina and rectum. 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. Inner sides of thighs and ankle regions (frequent rubbing of ankle areas against each other; possible verrucous component - verrucous lichen simplex. Scrotal pruritus; ICD-10-CM L29. 1999 Mar-Apr;65(2):91-2. Patients commonly reported sleep disturbances as a result of the. H&E stain. Scratching or rubbing causes further itching and then further scratching and/or rubbing, creating a vicious circle (itch–scratch cycle). Additionally, the healthcare provider should be aware of the possibility of underlying allergic contact dermatitis from either an anogenital. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. This includes the nape and sides of the neck, extensor surfaces of the forearms and elbows, inner thighs, lower legs, and ankle flexures. A skin condition where the skin becomes thickened (lichenification) due to repeated friction, itching, or scratching is called lichen simplex chronicus. 4. Some people find that stress makes their symptoms worse. It is estimated to occur in approximately 0. Acta Derm Venereol. Even with successful treatment, the symptoms often come back. This is known as lichen simplex chronicus (LSC). Please stop suing soap over the affected areas. Lichen simplex of the scrotum is a pruritus form of dermatitis where excessive scratching or rubbing leads to lichenification. In prurigo nodularis,. Pediatric Atopic Dermatitis. Vulvar lichen simplex chronicus is a common dermatosis characterized by skin lichenification following excessive scratching. Cohen AD, Vander T, Medvendovsky E, Biton A, Naimer S, Shalev R, et al. 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. 神经性皮炎的治疗重点在于控制瘙痒、防止抓挠和解决根本病因。. Subscribe to Codify by AAPC and get the code details in a flash. Dermatology 31 years experience. Quick Reference. 0 - other international versions of ICD-10 L90. A single or multiple plaque (thickened area of skin) of rough skin forms, with more markings and sometimes little bumps around the hair follicles. Lichen simplex chronicus is a secondary skin condition that occurs in response to severe pruritus, which drives an itch–scratch cycle. We conducted a systematic review of the literature to evaluate treatments for LSC and provide. But the itching can be so intense it disrupts your sleep, sexual function and quality of life. When it begins in the groin area, it tends to develop on the anus, scrotum, or vulva. Lichen simplex is usually secondary to an underlying skin. Treatment is directed at the initial cause of the itch and includes education.