Abstract
Abstract Background: Lichen simplex chronicus (LSC) is an eczematous disease caused by cell-mediated autoimmune inflammation that presents as an erythematous and distressingly pruritic area that develops into a thickened, indurated, and atrophic area. U.S. prevalence is ∼0.5% and most commonly involves the labia minora. Often, an itch–scratch–itch cycle perpetuates this condition. Scratching causes intense pleasure, which could lead to excoriation, lichenification, depigmentation, and chronic dermatitis. Itching may be intensified at night. Common triggers are sweating, stress, walking, irritation from clothing and panty-liner–based infections. Case: A 22-year-old nulligravida presented in a clinic for emergency room follow-up with a diagnosis of an ovarian cyst and pyelonephritis that were treated with proper antibiotics. A wet mount was diagnostic for bacterial vaginosis, so the patient was treated with the indicated antibiotic and was scheduled for follow-up at 1 month. After multiple months of treatme...
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