Question

A 58-year-old man with diabetes mellitus and hypertension presents with a 6-month history of generalized pruritus. He reports that he scratches frequently. On examination his skin is dry and scaly. He has multiple linear excoriations and thickened skin on his forearms, legs, and neck. Which one of the following is the most likely etiology of his pruritus?

(A) Chronic urticaria
(B) Contact dermatitis
(C) Lichen simplex chronicus
(D) Scabies

Answer 1

Answer: Option C

Explanation:

The patient is suffering from lichen simplex chronicus which consists of lichenified plaques and excoriations which is a result of excessive scratching.

Many psychological behaviors have been seen in the patients suffering from lichen simplex chronicus.

Anxiety has been reported to be more prevalent in these patients.

its treatment aims at reducing pruritus and reducing the existing lessions of the body.