Hello. Thanks for writing to us at healthcaremagic I will keep a possibility of Lichen simplex chronicus (LSCh). LSCh usually presents as hyperpigmented, dry, itchy patches of thickened skin. The skin gets thickened because of constant scratching, these thickened patches in turn generate the desire to itch and therefore this forms a self perpetuating cycle:itch-scratch-itch cycle. Treatment involves Oral antihistamine e.g cetrizine 10 mg once or twice daily, which suppresses the desire to scratch. Topical application of potent Or superpotent steroid e.g clobetasol propionate ointment Or Halobetasol propionate ointment, twice daily is very useful in LSCh. Steroids may be required top continue for weeks Or months to achieve desired results. Intralesional steroids are better options as compared to topical steroids and are usually administered into the lesional skin once every 2-3 weeks. I would suggest that you seek an appointment with a specialist dermatologist in your region for a confirmatory diagnosis as well as appropriate prescription. Regards