Lichen simplex chronicus (thick itchy skin from scratching)

Overview

Constant scratching or rubbing thickens the skin, which makes it itch more and creates a cycle.

Common spots are the neck, wrists, ankles, and genital area.

Symptoms

Common signs:

• Thick itchy patch

Less common

• Darker skin patches

When to get medical care

Causes

Scratching.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Diagnosis

Exam.

Treatment

Stop scratching.

Self-care

• Cover area
• Cover the area at night
• Keep nails short
• Use a cold pack instead of scratching
• Moisturize often

Medicines

Medicines that may help:

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Prevention

To lower your risk or prevent problems:

• Treat itchy skin early

Which doctor treats this

• Start with your primary care provider (family doctor or internist).
• They may send you to a dermatologist (skin doctor).

Living with it

• Keep a simple diary of symptoms, triggers, and medicines to bring to visits.
• Bring a list of your medicines and questions to each visit.
• Use gentle, fragrance-free soaps and moisturizers.
• Protect your skin from the sun.
• Long-term illness can affect mood. Tell your doctor if you feel down or anxious.

Back to school, work, or sports

• Most people can keep working or going to school.
• Ask about changes that help, like extra breaks or a flexible schedule. Workers may be covered by the ADA. Students may get a 504 plan.

Children, pregnancy, and older adults

• Adults 30 to 50: Most common.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Some skin medicines, like isotretinoin and retinoid creams, aren't safe in pregnancy.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

For caregivers

• Go to visits when you can and take notes.
• Keep a list of medicines, allergies, and doctors in one place.
• Learn the warning signs that need fast care.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Improves.

Improves once the scratching cycle stops.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

• Could stress or anxiety be making it worse?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Lichen simplex chronicus (thick itchy skin from scratching)