Lichen simplex chronicus of anogenital region: A clinico-etiological study

Background:According to the World Health Organization criteria, geriatric population is people above 60 years of age. In this phase of life, a woman has already gone through menopause and its associated emotional, physical, and hormonal changes. These changes are due to gradual loss of estrogen that comes with menopause which results in dramatic changes in the appearance of vulva and vagina. With age, skin of vulva becomes thin, loses elasticity, and moisture so that the patient starts feeling burning and itchy sensation. The normal acidic pH changes to basic which alters the flora and makes the person prone to other bacterial infections. Apart from infections, there are many other dermatological and nondermatological causes of vulvar itching in this age group such as eczema, contact dermatitis, lichen planus (LP), lichen sclerosus atrophicans, lichen simplex chronicus (LSC), prolapse, incontinence, and carcinoma. The aim is to diagnose the causes of pruritus vulvae in the geriatric age group to decrease the misery of these patients.Methods:We selected 40 consecutive females of age group ranging from 60 to 75 years coming to skin OPD with the complaint of pruritus of vulvar region over a period of 1 year. Clinical examination, complete blood count, fasting blood sugar, wet mount, pap smear, and skin biopsy were done in every case.Results:Out of the forty patients who were included in this study, 17 (42.5%) were diagnosed as a case of LSC and 11 (27.5%) patients had atrophic vaginitis. Three (7.5%) patients presented with tinea. Three (7.5%) cases were clinically diagnosed as scabies. Another 2 (5%) cases were diagnosed as LP and Candida was seen in other 2 (5%) cases. 1 (2.5%) case was diagnosed as bacillary vaginosis and 1 (2.5%) patient was of lichen sclerosus.Conclusion:Pruritus vulvae of geriatric age group are of diverse etiology, therefore, treatment based on precise diagnosis is of prime importance.

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“…Later on, the skin loses pigmentation and becomes very thin and wrinkled, classically referred to as a “cigarette paper” appearance. [31]…”

Section: Discussionmentioning

confidence: 99%

“…[31] incidence of anogenital pruritus was 2.5%. The prevalence of Anogenital lichen simplex chronicus (AGLSC) was about 0.5% in the general population of the western Europe and America,[21] 10% in a study in a multidisciplinary vulvar clinic,[32] 30.5% in a specialist referral vulvar clinic[33] and 35% among nonneoplastic vulvar biopsies.…”

Section: Discussionmentioning

confidence: 99%

Study of pruritus vulvae in geriatric age group in tertiary hospital

Kaur

Kalsy

2017

Indian J Sex Transm Dis

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“…Most common sites are nape of neck, ankle, scalp and anogenital region. [3] Emotional tension causes lichen simplex and in turn patients with LSC in particular areas of the body (face, scalp, hands and genital area) are more prone to psychological distress due to the appearance of lesions. Although not life-threatening, it can produce an important psychosocial burden, sleep disturbance and sexual dysfunction.…”

Section: Discussionmentioning

confidence: 99%

A case of neurodermatitis circumscipta of scalp presenting as patchy alopecia

2013

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Neurodermatitis or Lichen simplex chronicus (LSC) is chronic skin disease in which emotional factors have a key role in the initiation of disease. A sixty year old lady presented with itcy lesion of scalp with localised area of loss of hair. After proper history taking and investigations she was diagnosed as LSC of scalp. She was treated with intralesional steroids,oral doxepin and psychotherapy. Complete remission of symptoms with total regrowth of hair occured in 3 months. The key role of emotional factors in causation of LSC and a proper psychotherapy along with dermatological treatment is necessary for complete cure of this condition.

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“…Sebuah penelitian menyatakan adanya hubungan antara kulit dengan otak, bahwa otak sebagai pusat fungsi psikologis dan kulit memiliki asal neuroektodermal embrionik yang sama dan dipengaruhi oleh hormon dan neurotransmitter yang sama. 18…”

Section: Berdasarkanunclassified

Profil Penderita Liken Simpleks Kronikus di Puskesmas Padang Pasir Kota Padang Tahun 2017

Sari

Primawati

Akbar

2019

Heme

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Lichen simplex chronicus (LSC) is a chronic, itching, circumscribed, inflammation disorder of skin, which the incident rate has increasing lately. Previous studies show some differences regarding LSC profiles. It is important to update the epidemiology of LSC so that it can be used as a new theoretical basis for research, society and health institutions. This study aimed to find out the profile of Lichen Simplex Chronicus in Puskesmas Padang Pasir in 2017 which includes distribution of frequency based on age, gender, major complaints, location of lesion, and therapy. This is a descriptive study where the data was obtained from medical record of LSK 70 patients in Puskesmas Padang Pasir in January – December 2017. The sample size was calculated by total sampling technique and slovin formula. Results show distribution of frequency: mostly, the age distribution was 56-65 years old (34,3%), and the number of women patients (51,4%) were more than male patients (48,6%). The most complained symptom and affected site was itching (82,9%) and foot (54,3%). The most used antihistamine therapy was chlorpheniramine maleate 4 mg (72,9%), the most used oral steroid therapy was dexamethasone 0,5mg (28,6%) and the most topical therapy was betamethasone 0,1% cream (51,4%).

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Lichen simplex chronicus of anogenital region: A clinico-etiological study

Abstract: Though psychological factors are thought to play an important role in disease causation and perpetuation among AGLSC patients, their significance could not be ascertained by us.

Cited by 23 publications

References 14 publications

Study of pruritus vulvae in geriatric age group in tertiary hospital

Study of pruritus vulvae in geriatric age group in tertiary hospital

A case of neurodermatitis circumscipta of scalp presenting as patchy alopecia

Profil Penderita Liken Simpleks Kronikus di Puskesmas Padang Pasir Kota Padang Tahun 2017

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