How to treat a dry patch that worsens during winter?

Hi,

Welcome to icliniq.com.

I understand your concern.

I have reviewed your image (attachment removed to protect the patient's identity). You are having lichen simplex chronicus (LSC).

1. It arises because of repetitive scratching or rubbing. There is a thickening of the skin with irregular flakes.

2. Lichen simplex chronicus usually describes stable itchy, thickened one or more areas. However, thickening of the skin occurs in any location that the patient can reach, like the nape of the neck, extensor forearms and elbows, scrotum, upper medial thighs, knees, lower legs, and ankles.

5. In your case, it involves extensor aspects of ankles, causes age-related dryness, venous insufficiency like tortuous veins or pooling of blood due to prolonged standing, or weakness of blood vessel wall due to aging and eczema in old age due to bath with hot water (asteatotic eczema) are common factors.

6. Apply Xerina cream (Glycolic acid) or Moisturex cream (Propylene glycol), wait for 15 minutes, then apply topical steroids with Salicylic acid (Propysalic NF lotion (Clobetasol and Salicylic acid), an occlusive dressing will be more helpful method after the application of Propysalic lotion above this place a flat polythene cover. Place a cotton bandage on it and leave it for a whole night (occlusion is not needed during the day). It should be applied twice daily for two to four weeks, and take one tablet of Levocetirizine, once daily for a similar duration after consulting a dermatologist.