Doctor insights on:
Medicine For Lichen Simplex Chronicus
Chronic rubbing?: Lichen simplex chronicus is a thickening of the skin caused by chronic rubbing or scratching. A fissure usually tends to be more painful than itchy, but if it is an area you are chronically rubbing, it is possible to develop lichen simplex chronicus. Please see your doctor for proper diagnosis and management. ...Read more
It's a condition:
The skin condition (not disease) is caused simply enough by chronic scratching which comes about usually by chronic itching and it's a vicious cycle. The itching can be caused by things such as insect bites, psoriasis, or anything else that leads to a dermatitis. Treatment is stop scratching. Easier said than done in most cases. Here's a good link to help you:
http://www. Nlm. Nih. Gov/medlineplus/ency/imagepages/1562.Htm. ...Read more
Address underlying: Lsc is caused by repeat scratching of an area with resultant "lichenification" with skin thickening and woody appearance with enhanced skin markings. If you have eczema in that area that led to lsc, you might be a good candidate for moisturizers as well as topical steroids or immunomodulators. The important thing is to get the underlying disease that led to lsc under control. ...Read more
Lichen Simplex: Treatment is aimed at reducing pruritus and minimizing existing lesions because rubbing and scratching cause lichen simplex chronicus. Location, lesion morphology, and extent of the lesions influence treatment. For the eye lid, I recommend prescription Elidel (pimecrolimus) or protopic. ...Read more
Is oral sex safe with lichen simplex chronicus? My partner still wants to do so but I always turn him down out of fear that it’s contagious. Is it?
Not infectious: This is a mucous membrane condition which needs be monitored but it is not contagious for other people. ...Read more
Dx by vulvar biopsy lichen simplex chronicus currently using clobetasol but how do I find out the cause as I understand lsc is a response to itching?
Detailed History: The cause of lsc can be caused by many things. Unfortunately a cause may not be found in many cases. But there are some things that may trigger the disorder. Do you use party-liners or feminine hygiene products? Do you use perfumed soaps or vaginal creams? Do you wear occlusive clothing, such as tight lycra garments, or confining undergarments, such as non-cotton underwear or thongs? These garmen. ...Read more
Is oral sex safe with lichen simplex chronicus? My partner still wants to do so but I always turn him down out of fear that it’s contagious. Is it con
Not contagious: No worries. This isn't contagious. Even if it were, it wouldn't matter. Lichen simplex is harmless, in the mouth, penis, or anywhere else. ...Read more
After having a vulva biopsy I have been told I have lichen simplex chronicus - will this eventually go away with the use of clobetasol cream alone?
Maybe: Especially if it relieves the discomfort, it will probably eventually lead to remission. The key is that the biopsy did not show anything more worrisome. Best wishes. ...Read more
1punch biopsy revealed lichen simplex chronicus on labia minora as had thickening-2 other vulval biopsies confirmed lichen sclerosus - can u hav both?
Dx lichen simplex chronicus but since developed a few small bumps look similar to insect bites on outside of vagina, they itch, hav no stds, what r they?
Lichen simplex: See your dr. Lichen simplex is typically lumpy. ...Read more
I have lichen simplex chronicus on the vulva but could it be the reason for sore itchy tears in the crack of the anus too?
Yes: Since you already know the diagnosis you must already have a prescription cream. Clobetasol is the most potent of the topical steroids. Evidently you do not have lichen sclerosis, so you may wish to use something safer for long-term use. Long-term use of clobetasol causes severe thinning of skin. Calcineurin inhibitors pimecrolimus and tacrolimus are less potent but do not cause atrophy in the gen. ...Read more
Thought I had genital warts. GYN did biopsy & it’s mild chronic vulvitis w/focal features of evolving lichen simplex chronicus. So not genital warts? And how to treat it?
Lichen simplex chronicus pathology was done in 2008 saying;biopsy of skin on chin show hyperkeratosis without fungal infestation, spongiotic changes of the epidermis and a superficial perivascular chronic inflammatory cell infiltrate composed of primari
This: This is very challenging without a clinical examination. This could be lichen simplex chronicus, prurigo nodularis, or other possibilities. Certainly I would get it looked at to be sure so I would recommend you see a dermatologist to further evaluate the area. There are many treatment options to helps these conditions. I hope that helps! ...Read more
What r poss causes of lichen simplex? Clobetasol cream not reducing itching feeling despite me not scratching it. Should the cause not try to be found?
Lichen simplex on vulva - been on clobetasol 2 months daily, struggling to reduce to every other day without severe itching. Worried abt staying on it?
Considerations: Although it's true that staying on high potency topical steroids long term has adverse effects over time, it is the mainstay of therapy for vulvar lichen simplex. You might consider discussing the following medications with your doctor as other options: Doxepin cream, capsaicin cream, topical aspirin/dichlormethane, topical immunomodulators like tacrolimus and pimecrolimus, even local botox. Good luck! ...Read more
Lichen simplex on vulva should the thickening decrease over time with steroid cream? Been 1 month and looks much the same?
Dx lichen simplex via biopsy on vulva been using clobetasol nighty for 2 months, tried to reduce to every other night, itching flares up? Any ideas?
Probably normal: Clobetasol is a very strong cortisone cream but, believe it or not, some people are allergic to it. I would ask your doctor if you can switch to mometasone ointment. That usually makes it feel better. You can also mix the cream/ointment with regular vaseline to decrease the strength and also keep the skin moist. Avoid Monistat, Vagisil etc, they're useless. ...Read more
If ihad lichen simplex chronics would it have shown up on fungal pap smear? I was supoose to get biospy but dr told me to cancel if sore went away bee
Dx lichen simplex on vulva but also have dry, sore sometimes itchy skin on scalp, hands, armpits - dry vulva. Is this a possible skin allergy?
Biopsy: You could see a dermatologist who can do an exam and possibly a biopsy to see what is causing these symptoms and to see if they are related ...Read more