Lichen Simplex Chronicus

Also known as neurodermatitis or scratch dermatitis, this condition is caused by a chronic cycle of scratching and itching an area of skin that becomes rough or leathery. While it is not dangerous, Lichen Simplex Chronicus can be a difficult cycle to break because of the severity of the itchiness. It can occur anywhere on the skin, but is most commonly found on the ankles, neck, wrist, forearms, thighs, lower leg, behind the knee or on the inner elbow. It may also be associated with other skin conditions, such as dry skin, eczema or psoriasis.

Lichen Simplex Chronicus occurs more frequently among women than men and generally appears in people between the ages of 30 and 50. If you are unable to break a scratch and itch cycle somewhere on your skin or if the skin becomes painful, contact your dermatologist. Persistent scratching can lead to bacterial infection. The doctor may prescribe oral corticosteroids and antihistamines to reduce the inflammation and relieve the itching. In some cases, antidepressant or anti-anxiety medications provide relief to sufferers. If scratching does lead to an infection, your dermatologist will likely prescribe an oral or topical antibiotic.

Some patients gain relief from the itching by applying a moisturizing lotion and covering the area with a wet dressing. Moisture helps the skin absorb the lotion. Peeling ointments containing salycylic acid may also be recommended to soften rough skin.

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Serving Patients in and around Palm Beach County

Palm Beach Dermatology has been serving patients in and around Palm Beach County for over twenty years, we are a full-service dermatology and dermatological surgery practice with special emphasis on the diagnosis and treatment of skin cancer. All physicians in our group are Board Certified by The American Board of Dermatology and are Fellows of the American Academy of Dermatology. We invite you to visit us at Palm Beach Dermatology to find out why you can trust our skin care team.

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  • "Dr. Muhart is truly a very caring and professional doctor. I have referred many friends, family members and co-workers to her office knowing they will get great care."
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  • "Dr. Kowalczyk and his staff are awesome! The office staff is both efficient and friendly. His exam is thorough. I will definitely be back!"
    Jenna J.
  • "As a longtime skin cancer patient I’m impressed with Dr. Kelley’s professionalism and follow-ups. She and her staff are all about results and patient satisfaction. Quite different from the other “Mohs Mills”!"
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  • "Dr. Fayne saw my daughter for her acne. He was great with her and explained everything so she could understand. We love the office staff too!"
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  • "I have been seeing Dr. DiBacco going on 10 years. Truly, a great dermatologist. He cares and is very personable. He is detailed with his assessments and treatments. What more could you ask for except a great personality? Oh, and he has that too!"
    Alex M.
  • "Dr. Cohen makes you feel like part of his family. He is very thorough in his exams and keeps you informed during your dermatological office visits and any telephone follow-ups."
    Steven D.