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Year : 1999  |  Volume : 65  |  Issue : 2  |  Page : 91-92

Lichen simplex chronicus of scrotum

Correspondence Address:
Nadiga Rajashekhar

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This report deals with lichen simplex chronicus of the scrotum present in a 33-year-old male, with severe itching. Histopathological features were suggestive of chronic dermatitis.

Keywords: Lichen simplex chronicus, Dermatitis

How to cite this article:
Rajashekhar N, Thippeswamy C, Prasanna N B. Lichen simplex chronicus of scrotum. Indian J Dermatol Venereol Leprol 1999;65:91-2

How to cite this URL:
Rajashekhar N, Thippeswamy C, Prasanna N B. Lichen simplex chronicus of scrotum. Indian J Dermatol Venereol Leprol [serial online] 1999 [cited 2020 Jan 28];65:91-2. Available from: http://www.ijdvl.com/text.asp?1999/65/2/91/4775

  Introduction Top

Lichen simplex chronicus (LSC) is a common chronic, usually solitary plaque of thickened skin occurring due to repeated rubbing and scratching or both. The classic form is idiopathic and common in atopics.[1] Presumably the intense pruritus results from mediator release or proteclytic activity,[2] although some investigators have reported that rubbing and scratching may be a condition response to stress.[3] Patients with LSC clinically have pruritus out of proportion to the appearance of lesions. The lesions of LSC are characterized by pigmentation and exaggeration of the normal skin markings. The central area becomes scaly, thickened and pigmented.[4] Here we are reporting a case of LSC involving the entire scrotum.

  Case Report Top

A 33-year-old man came to the hospital with the history of intense pruritus and thickened skin of the scrotum of 8 years duration. He initially noticed a few areas of thickened skin with itching. After scratching and rubbing, the lesions coalesced to form thick and rough skin over the scrotum. History of psychological upset for not conceiving a male child for long time was present.

There was diffuse involvement of scrotum showing enlargement, thickening, hyperpigmentation with increased rugosity. A few hypopigmented macules and patches with excoriation were present. Sparseness of hair was present. All other conditions like, filariasis/lymphedema, hernia, testicular tumour and gummatous syphilis of scrotum were ruled out. Histological features were suggestive of chronic dermatitic changes. All other tests were normal except mild anemia. Patient showed slight improvement with topical steroids and antihistamines.

  Discussion Top

Lichen simplex chronicus of the scrotum usually involves the perineoscrotal region. In this case whole of the scrotum was diffusely involved, which is rare. Recently there are no reports in the literature except wash leather scrotum, a treatable cause of male infertility.[5]

  References Top

1.Haldar B, Ghosh S. Eczemas. In: Valia RG, Valia AR, Siddappa K, eds. Textbook and Atlas of Dermatology 1st ed. Bombay: Bhalani Publishing House, 1994;Vol 1, 351-378.  Back to cited text no. 1    
2.Clark RAF, Hopkins TT. The other Eczemas. In: Moschella SL, Hurely HJ, eds. Dermatology, 3rd ed Philadelphia: WB saunders, 1992:Vol. 1,465-504.  Back to cited text no. 2    
3.Robertson IM, Jordan IM, Whitlock FA. Emotions and skin (III). The conditioning of scratch response in cases of lichen simplex. Br J Dermatol 1975;92:407-412.  Back to cited text no. 3    
4.Burton JL. Eczema, lichenification, prurigo and erythroderma. In: Champion RH, Burton JL, Eling FJG eds. Textbook of Dermatology 5th ed. London: Oxford, Blackwell Scientific Publications, 1992:Vol.1,537-588.  Back to cited text no. 4    
5.Hendry WF, Mumro DD. Wash leather scrotum: Scrotal dermatitis: A treatable cause of male infertility. Fertil Steril 1990;53:379-381.  Back to cited text no. 5    


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