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Have lichnified eczema on neck. No history of atopic and photosensitivity. Cause of eczema?

Sir i am a doctor and have a patient who has lichnified eczema on neck ...on v of neck and nape of neck and upper back..face is clean..she also has involvement of arms and legs but to lesser history of any irritant application history of photosensitivity history of atopic...this all since 5 months...she had generalized xerosis since few years...what can b the cause of eczema
Asked On : Sun, 20 Jan 2013
Answers:  1 Views:  44
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Dermatologist 's  Response
Thanks for writing to us.
From the details provided she could be having lichen simplex chronicus(LSC).
LSC or neurodermatitis can be primary which occurs without any cause and is seen as pigmented itchy hard plaques over easily accessible sites like hands arms or legs and nape of neck. These could be secondary too in response to any inciting factor like xerosis, eczema, photo sensitivity etc.
Treatment requires oral antihistamine and use of potent steroid with or without salicylic acid combination.
Hope that helped.
Take care
Answered: Tue, 30 Jul 2013
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