Lichen Simplex Chronicus

Question 1

when does lichen simplex chronicus develop?

Answer 1

secondary to irritant dermatitis

Question 2

when does lichen simplex chronicus progress?

Answer 2

as a result of chronic scratching and rubbing
- itch-scratch-itch cycle
- tissue becomes thickened and painful

Question 3

what are sources of lichen simplex chronicus?

Answer 3

1. laundry detergents
2. fabric softeners
3. scented hygiene products
4. colored or scented toilet tissue

(STOP ALL)

Question 4

what are symptoms of lichen simplex chronicus?

Answer 4

1. diffuse red areas with hyperplastic or hyperpigmented plaques or red or reddish brown

Question 5

T/F. biopsy is needed for lichen simplex chronicus.

Answer 5

F

Question 6

what is the treatment for lichen simplex chronicus?

Answer 6

1. benadryl or atarax
   *tx 10 days to 2 weeks
2. Topical steroids
   - hydrocortisone
   - if relief not for 3 months: then do biopsy