Lichen Simplex Chronicus Flashcards

1
Q

LSC

A

thickened area of skin from rubbing or scratching. Targeted form of lichenification, consequence of a disease

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2
Q

Epidemiology

A

20 or older, more common with women, more frequent in Asians

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3
Q

Patho

A

itching becomes a habit, hx of atopy, hyperplasia from scratching

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4
Q

Clinical features

A

brown flat papule with heightened skin lines and excoriations, itching worse at night

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5
Q

locations

A

posterior neck, occipital scalp, forearms and lower legs, ankles

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6
Q

tx

A

stop the cycle, occluded topical steroids and intralesional steroids, oral gabapentin

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7
Q

educational point for pts

A

stop scratching, occlusive dsg at night to stop, can do patch testing as it could be due to a contact derm

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