Lichen simplex chronicus is a chronic yet benign condition. The treatment is actually quite simple: stop scratching!!!! But of course, it is hard to do. 😵 Many times patients get frustrated and scared because the chronicity and the way the lesion looks… As a dermatologist, I’ve learned that thorough history taking, skin punch biopsy and a tender understanding of what your patient is going through can help you build a good relationship with them.
Lichen simplex chronicus is a thickened circumscribed plaque of skin that results from repetitive rubbing and scratching. The skin may be highly sensitive to touch or may also result from habitual scratching. The persistent itchiness and thickened lesion may cause patients to worry. 😔 There are other skin conditions which may present similarly. 👉🏼 That is why dermatologists do comprehensive history taking and, at times, a biopsy to get the diagnosis and treatment correctly. 🧐