HomeAnswersDermatologylichen simplex chronicusI am concerned about swelling and itching in the ankle and flexor area of my left leg. Kindly suggest treatment.

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


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Suvash Sahu

Medically reviewed by

iCliniq medical review team

Published At January 3, 2024
Reviewed AtJanuary 3, 2024

Patient's Query

Hello doctor,

I have been suffering from skin issues in the ankle area of my left foot and the flexor area of both legs with swelling and itching in that area. I have attached the photos. I am currently taking a Salbutamol inhaler as I am asthmatic and have used several medications. My complete blood count is also normal. Kindly help.

Thank you.

Answered by Dr. Suvash Sahu


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 with variable flakes. Lichen simplex chronicus is usually presented as 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 extensor aspects of ankles that cause dryness, venous insufficiency like 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, put a flat polythene cover, place a cotton bandage over it and leave it for the whole night, and repeat it for the next two to three days.
  2. Take one tablet of Levocetirizine (Levocetirizine dihydrochloride) daily for a similar duration.
  3. Take Kenocort (Triamcinolone acetonide) 10mg /ml intralesional injection at a three-week interval.

Kindly consult a specialist, talk to them, and take the medication with their consent.

I hope this information will help you.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Suvash Sahu
Dr. Suvash Sahu


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