Lichen simplex chronicus

Clinic

• LSC is a skin condition caused by chronic itching and scratching.
• It is also known as neurodermatitis.
• A minor itch may encourage scratching which increases the irritation, leading to more scratching.

Signs / Symptoms

• Pruritus, followed by uncontrollable scratching of the same body region, excessively.
• Most common sites: Neck, Scalp, Ankles, Vulva, Pubis, Scrotum, Extensor sides of forearms.
• Skin may become Thickened / Hyperpigmented / Lichenified as a direct result of chronic excoriation.
• Typically Pruritus periods are associated with stressors.

Causes

• This is a skin disorder characterized by a self-perpetuating scratch-itch cycle:
  • It may begin with something that rubs, irritates, or scratches the skin, such as clothing.
  • This causes the person to rub or scratch the affected area. Constant scratching causes the skin to thicken.
  • The thickened skin itches, causing more scratching, causing more thickening.
  • Affected area may spread rapidly through the rest of the body.

Psychosomatic origin

• Many hypothesize LSC has a psychosomatic origin. Those predisposed to itch as a response to emotional tensions may be more susceptible to the itch-scratch cycle.
• It may also be associated with nervousness, anxiety, depression, and other psychological disorders.
• Many people with LSC are aware of the scratching they do during the day, but they might not be aware of the scratching they do in their sleep.
• LSC is also associated with atopy, or atopic dermatitis (eczema) and an increase of histamine levels.

Remedies

Banerji protocols
First line	Hep C200 one dose every 2 days Ars C200 BD Coff C200 one dose every hour for too much itching In mouth and tongue eruptions, Nit-ac C200 BD
Second line	Ant-c C200 + Ars C200 BD KS 3X or 6X BD. If Nit-ac fails in mouth eruptions, Cist C200 one dose every 2 days
Third line	Mez C200 one dose every 2 days.