Neurodermatitis of the scalp

Abstract
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.

Neurodermatitis circumscripta also commonly called as lichen simplex chronicus (LSC) is a chronic skin disease characterized by lichenified plaques, which occur as result of constant scratching or rubbing of skin. Itch sensation that provokes an intense desire to scratch or rub a localized accessible area of skin is secondary to a psychological stress. Common sites are nape of neck, ankles, anogenital region and scalp. Effective management of skin conditions involves correction of the associated emotional factors.