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 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.