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Lichen simplex chronicus on the ankle Lichen nitidus on the abdomen Lichen simplex chronicus Lichen simplex chronicus on the back

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Lichen simplex chronicus

Symptoms: Itching of the skin May be chronic May be intense Increases with nervous tension, stress Skin lesion, patch, or plaque Exaggerated skin lines over the lesion Circumscribed lesion with distinct borders Skin lesion becomes leathery textured (lichenification) Darkened (hyperpigmented) or reddened skin Excoriation, raw areas Scratch marks Scaling Commonly located on the ankle, wrist, neck, rectum/anal area, forearms, thighs, lower leg, back of the knee, inner elbow Signs and tests: The diagnosis is primarily based on the appearance of the skin and a history of chronic itching and scratching. A skin lesion biopsy may be needed to confirm the diagnosis.

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