Lichen simplex chronicus

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Revision as of 01:59, 11 November 2023 by Mehrdad (talk | contribs) (Created page with "=== 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 / Hyper...")
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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 two doses daily.
  • If Nit-ac fails in mouth eruptions, Cist C200 one dose every 2 days
Third line
  • Mez C200 one dose every 2 days.