Lichen simplex chronicus on the ankle: Lichen simplex chronicus is also known as neurodermatitis. A minor itch may encourage scratching which increases the irritation, leading to more scratching. This ultimately results in a rough, scratched (excoriated), thickened skin surface which may develop increased pigmentation (hyperpigmentation) as seen here on the front part of the foot, just below the leg.
Update Date 11/12/2014
Updated by: Richard J. Moskowitz, MD, dermatologist in private practice, Mineola, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.