Lichen Simplex Chronicus (LSC) of Vulva- A Case Report and Literature Review

Abstract

The typical form of chronic neurodermatitis known as lichen simplex chronicus manifests as hick, scaly, dry patches of skin.The most common cause of the hypertrophic epidermis is habitually rubbing or scratching a particular area of the skin.The primary symptom of the disorder may indicate a possible psychological component, or it may be related to other skin conditions like psoriasis or eczema.These types of plaques arise from pruritic dermatoses, which are usually brought on by psychological stressors. Over the past century the disease entity has often been referred to by multiple other names, including lichen chronicum circumscriptus, circumscribed neurodermatitis, and neurodermatitis. Biopsy confirmed LSC of the vulvar region has been rarely reported. We report a case of LSC of the vulvar region in an Asian Indian woman performed a literature review. A 50-year-old Indian woman (housewife) presented in OPD with complaints of intense itching and thickened skin in the vulvar region There was a history of depression. She had attained menopause 3years ago. The skin at vulva was thickened, hard and leathery. There were signs of scratching. The skin was hyperpigmented. The patient was treated with Surfaz-SN cream containing Beclomethasone(steroid)+ Neomycin(antibiotic)+ Clotrimazole(antifungal) for local application along with herbal blood purifier syrup (mussaffi khoon). Within two days of treatment patient found improvement in itching.