What is the treatment for lichen simplex chronicus (LSC)?

Hello.

Welcome to icliniq.com.

I can understand your concern.

I have reviewed the photos (attachments have been removed to protect the patient's privacy) and can depict the presence of lichen simplex chronicus (LSC). It arises because of repetitive scratching or rubbing. There is a thickening of the skin, accompanied by variable flaking.

Lichen simplex chronicus is typically characterized by itchy and thickened areas. However, thickening of the skin can occur in any location that the patient can reach, like the nape of the neck, extensor forearms, elbows, scrotum, upper medial thighs, knees, lower legs, and ankles.

In your case, it involves the extensor aspects of the ankles, which can cause dryness, venous insufficiency (characterized by tortuous veins), or pooling of blood due to prolonged standing or weakness of the blood vessel wall. I suggest you follow the below-mentioned instructions.

1. Apply Xerina cream (Glycolic acid), wait for 15 minutes, and then apply Propysalic NF lotion (Clobetasol). After application, place a flat polythene cover over it, then apply a cotton bandage, and leave it in place for the entire night. Repeat this process for the next two to three days.
2. Take one tablet of Levocetirizine (Levocetirizine dihydrochloride) daily for a similar duration.
3. Administer Kenocort (Triamcinolone acetonide) 10mg/mL intralesional injection at a three-week interval.

Please consult a specialist, discuss the medication with them, and take it only with their consent.

I hope this information is helpful to you.

Thank you.