Lichen simplex chronicus (LSC) (also known as neurodermatitis) is a skin disorder characterized by chronic itching and scratching. The constant scratching causes thick, leathery, darkened, (lichenified) skin. This condition is associated with many factors, including the scratch-itch cycle, psychological stressors, and atopy. LSC is more common between ages 35 and 50 and is seen approximately twice as often in women compared to men.
Lichen Simplex Chronicus (LSC) 是一種皮膚狀況,某些部位會變厚且發癢,表面常有刮痕。受累區域的顏色可從粉紅色變為深棕色,有時隨著時間推移,中心會變淡而邊緣變深。與另一種以遍布全身的結節性瘙癢為特徵的 prurigo nodularis (PN) 不同,LSC 多局限於特定或少數部位。LSC 有時亦稱為神經性皮膚炎,屬於長期持續的瘙癢性皮膚疾病。 LSC is a localized skin disorder clinically characterized by lichenified plaques of skin often accompanied by overlying excoriations. These plaques can become discoloured, with varying shades of erythema ranging from pink to dark brown. Over a longer course, it may transform into a hypopigmented plaque with a darker border. They are localized to specific areas of the body as one or a few plaques. This is in contrast to prurigo nodularis (PN), another chronic pruritic condition, which is frequently more broadly distributed across multiple regions of the body as nodules. While LSC may sometimes be referred to as a neurodermatitis, which encompasses other chronic itchy conditions.
Lichen simplex chronicus 是一種慢性神經性皮膚炎,會使皮膚變得乾燥、出現斑塊並增厚。此情況多因頻繁刮擦或摩擦特定部位的皮膚,導致表層皮膚增厚。 Lichen simplex chronicus is defined as a common form of chronic neurodermatitis that presents as dry, patchy areas of skin that are scaly and thick. The hypertrophic epidermis generally seen is typically the result of habitual scratching or rubbing of a specific area of the skin.
這種慢性過敏性疾病是逐漸發展的。對於患者而言,抓癢已成為一種習慣。患有慢性單純性苔蘚 (lichen simplex chronicus) 的人會感到搔癢,隨後無法控制地過度抓撓同一部位。
○ 治療 - 非處方藥
用肥皂清洗病變部位並無幫助,反而可能使情況惡化。
非處方類固醇軟膏的效力可能較低,可能需要塗抹一週或更長時間才能見效。
#Hydrocortisone ointment
非處方抗組織胺。西替利嗪或左西替利嗪比非索非那定更有效,但會使您昏昏欲睡。
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]