Lichen Simplex Chronicus
RECENTLY IN THE NEWS:
NBC News (3/5/2015) reports on its website that "family practioners, gynecologists and even dentists are getting into the cosmetic procedure business, and dermatologists say they're seeing the side effects." Several dermatologists "from around the country told NBC News that they've had to the fix the mistakes of physicians who are dabbling in their specialty." In a statement, the American Academy of Dermatology said, "A dermatologist is a licensed medical doctor and the only residency-trained physician fully educated in the science of cutaneous medicine, which includes medical and surgical conditions of the skin, hair, nails, and mucous membranes."
DRY SKIN CARE:
Keep your bathing to a minimum! Wash with lukewarm water and keep your bathing to less than 10 minutes. Wash with a soapless cleanser such as Dove and avoid harsh soaps such as Ivory or Irish Spring. After bathing, moisturize within a few minutes of patting dry with a towel. Moisturize with a sensitive-skin moisturizer without fragrance. If you have a skin condition such as eczema, you will need to moisturize a few times per day.
The day after your procedure, allow the cleanser and water to wash over the site. That is adequate cleaning of the wound. Thereafter, apply a generous layer of petroleum jelly (Vaseline) or another greasy substance such as Aquaphor healing ointment. If the area is in contact with clothing, we advise you to cover it with a dressing. Repeat the same procedure the next day and every day until the wound has healed.
HOW TO APPLY YOUR TOPICAL RETINOID (ACNE PATIENTS):
Topical retinoids include adapalene (Differin), tretinoin (Retin-A, Atralin, Ziana, Veltin, Tretin-X). Apply a pea-sized amount to your entire face a few minutes after washing your face at bedtime (since most retinoids are inactivated by sunlight). If your face is dry with the retinoid, apply a moisturizer prior to the application of the retinoid.
CARE FOR SKIN IN THE SUN:
Use a daily moisturizer with a sunscreen of SPF 15 or higher on the areas that will be exposed. If you're going to be directly out in the sun, wear an SPF of 30 or higher and make sure the sunscreen says that it is "broad spectrum." Remember to reapply after two hours and after swimming or any exercising. Physical sunscreens which contain titanium dioxide and/or zinc oxide are gentle and will not react with the skin. Seek shade between the hours of 10 am-4 pm.
Check your skin for any new, changing, non-healing or itching lesions four times a year or every major holiday. If you notice anything that is new or changing or not healing, please call and get it checked.
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Also known as neurodermatitis or scratch dermatitis, this condition is caused by a chronic cycle of scratching and itching an area of skin that becomes rough or leathery. While it is not dangerous, Lichen Simplex Chronicus can be a difficult cycle to break because of the severity of the itchiness. It can occur anywhere on the skin, but is most commonly found on the ankles, neck, wrist, forearms, thighs, lower leg, behind the knee or on the inner elbow. It may also be associated with other skin conditions, such as dry skin, eczema or psoriasis.
Lichen Simplex Chronicus occurs more frequently among women than men and generally appears in people between the ages of 30 and 50. If you are unable to break a scratch and itch cycle somewhere on your skin or if the skin becomes painful, contact your dermatologist. Persistent scratching can lead to bacterial infection. The doctor may prescribe oral corticosteroids and antihistamines to reduce the inflammation and relieve the itching. In some cases, antidepressant or anti-anxiety medications provide relief to sufferers. If scratching does lead to an infection, your dermatologist will likely prescribe an oral or topical antibiotic.
Some patients gain relief from the itching by applying a moisturizing lotion and covering the area with a wet dressing. Moisture helps the skin absorb the lotion. Peeling ointments containing salycylic acid may also be recommended to soften rough skin.