What behaviors may a patient exhibit during an exam for lichen simplex chronicus?

Updated: Feb 15, 2019
  • Author: Jason Schoenfeld, MD; Chief Editor: William D James, MD  more...
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Answer

Patients may scratch lesions de novo when observed. Some patients may start scratching while discussing the itch or describing the lesions.

Note the images below.

Area of lichen simplex chronicus originally believ Area of lichen simplex chronicus originally believed to be chronic contact dermatitis. The true nature was revealed when the patient admitted to rubbing this area while watching television. Courtesy of San Antonio Uniformed Services Health Education Consortium Dermatology Program.
Plaque of lichen simplex chronicus demonstrating a Plaque of lichen simplex chronicus demonstrating accentuated skin markings. Courtesy of San Antonio Uniformed Services Health Education Consortium Dermatology Program.
Plaques of lichen simplex chronicus on the hand. Plaques of lichen simplex chronicus on the hand.
Plaque of lichen simplex chronicus of the leg with Plaque of lichen simplex chronicus of the leg with accentuated skin markings and excoriations.
Lichen simplex chronicus of the dorsal hand and wr Lichen simplex chronicus of the dorsal hand and wrist demonstrating increased skin thickness and accentuation of skin markings.

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