ECZEMA LICHEN SIMPLEX CHRONICUM
This is a localized itchy, well defined eruption. The chronic nature of this condition can be troubling. The skin thickens in response to rubbing and scratching (lichenification). The cause is not known. Once the itch/scratch cycle is established it is very difficult to break this without treatment. Persistent rubbing causes the epidermis to thicken. There may be sensitization with allergic reactions in response to the topical creams, lotions and ointments used. Most often lichen simplex chronicus is seen around the ankles, shins and the back or side of the neck. The forearms may also be extensively involved.
The aim of treatment is to stop the itch/scratch cycle. Potent steroids are delivered using Dermojet- Needleless injection system that is painless.