Neurodermatitis
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Abstract
Neurodermatitis, or lichen simplex chronicus (LSC), is a chronic inflammatory skin disorder that significantly impacts quality of life due to intense pruritus, sleep disturbance, and cosmetic concerns. It is characterized by localized lichenified plaques that result from repeated scratching. We report a case of a 33-year-old female presenting with chronic itching on the dorsal aspects of both feet for one year. Symptoms worsened during rest, and the patient was unable to resist scratching until excoriations occurred. She had previously attempted self-medication with gentamicin and hydrocortisone ointments without improvement. Physical examination revealed multiple well-demarcated lesions with hyperpigmented macules, fine scaling, and lichenification. A clinical diagnosis of neurodermatitis was established, with differential diagnoses including lichen planus and psoriasis. Management consisted of topical corticosteroid combined with salicylic acid, oral antihistamine, and patient education to avoid scratching and maintain skin hygiene. Prognosis was favorable in terms of life and function, although healing was variable depending on treatment adherence and psychological factors. This case highlights the importance of breaking the itch–scratch cycle, patient counseling, and family support in the management of neurodermatitis
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