Dr. Suvash Sahu
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I have a small formation in my leg which developed approximately three years. I have attached the images for your reference. It is brown in color, somewhat similar to a burn. It itches sometimes and it is very dry in nature. This formation was initially around 0.8" but now has increased in size to 2.8", which is the reason for my concern. Whenever it itches I only use an antiseptic lotion - Suthol. Besides, I have Parkinson's disease and I take sleeping pills every night. Please advise.
Hi,
Welcome to icliniq.com.
I have seen your pictures (attachment removed to protect patient identity) and well understand your concern. You are having lichen simplex chronicus (LSC). It arises because of repetitive scratching or rubbing. I could see the thickening of the skin with variable flakes. Lichen simplex chronicus usually described as stable, itchy, and thickened in 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. In your case, it involves extensor aspects of the ankles. Cause for LSC includes age-related dryness, venous insufficiencies like tortuous veins or pooling of blood due to prolonged standing or weakness of blood vessels wall due to aging, and eczema in old age due to bath with hot water (asteatotic eczema) are common factors.
The Probable causes
Investigations to be done
Differential diagnosis
Probable diagnosis
Treatment plan
Preventive measures
Regarding follow up
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Dermatology
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