7/19/11

Lichen simplex chronic

   The lichen simplex chronic is a skin disorder that leads to chronic itching scratches and.
CAUSES: this disorder can occur with:
It is common in children who chronically suffering insect bites. It can also be common in children with mental retardation who have chronic repetitive movements.
SYMPTOMS: This skin disorder leads to a cycle scratch-itch:
   You can start with something that rubs, irritates or scratches the skin as clothing;This means that the person you rub or scratch the affected area. The constant movement scratches the skin;The thickened skin itches, causing more scratching, which in turn cause increased thickening;The skin may become leathery and brownish in the affected area.
   Symptoms include: itchy skin chronic or intense, which increases with nervous tension and stress;Skin lesions commonly found on the ankle, wrist, neck, rectum/anal area, forearms, thighs, legs, back, knee, elbow;Distinct lesions that become leathery;Reddened skin or darkened (hyperpigmented);Scratch marks;
DIAGNOSIS: the diagnosis is based primarily on the skin aspect and a story of chronic itching and scratches. A skin lesion biopsy may be needed to confirm the diagnosis.
THERAPY: The primary treatment is to stop scratching the skin. This may include counseling to be aware of the importance of not scratching, handle stress or behavior modification. The itching and inflammation may be treated with lotion a or steroid cream applied to the affected area of skin. Ointments, such as those containing salicylic acid, can be used on thickened lesions. Soaps or lotions containing coal tar can be recommended.
   Dressings that cover and protect the area can be used with or without cream. Are left in place for a week or more at a time. Antihistamines, sedatives or tranquilizers may be needed to reduce the itching and stress. The steroid may be injected directly in injury to reduce itching and inflammation. Patients who have an emotional component that causes the lichen simplex chronic may need antidepressants and tranquilizers.
PROGNOSIS: you can control the lichen simplex chronic, reducing stress and scratching. The condition can return or change sites. Possible complications may be: bacterial infection of the skin; permanent changes in skin color; permanent scar.

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