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However, due to the stigma associated with chronic scratching, some patients will not admit to chronic rubbing or abrasion. The skin may become thickened and hyperpigmented (lichenified) as a direct result of chronic excoriation. [3] Typically this period of increased scratching is associated with stressors.
Once fully developed, the effected skin will present with a leathery, "bark-like" texture and remain itchy and inflamed. [ 3 ] Common areas of occurrence are noted in points of the body that are easily accessible or prone to itchiness, notably the nape of the neck, wrists, hands, forearms, waist, scrotum, vulva, thighs, lower legs and feet.
Chronic and repetitive scratching, picking, or rubbing of the nodules may result in permanent changes to the skin, including nodular lichenification, hyperkeratosis, hyperpigmentation, and skin thickening. Unhealed, excoriated lesions are often scaly, crusted or scabbed.
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Chronic low-grade inflammation can cause your skin to look older than it is. How do you know if you could be suffering from this issue, called inflammaging? Dermatologists offer their best advice.
In short, melasma is a chronic skin condition that appears as darkened areas on the face due to an overproduction of melanin, says Gina Charles, MO, a family physician specializing in skincare. It ...
A callus (pl.: calluses) is an area of thickened and sometimes hardened skin that forms as a response to repeated friction, pressure, or other irritation. Since repeated contact is required, calluses are most often found on the feet and hands, but they may occur anywhere on the skin. Some degree of callus, such as on the bottom of the foot, is ...
If left untreated, the itching may become too intense causing people to scratch themselves as a behavioral coping mechanism. Recurrent scratching, especially over the same area can lead to skin thickening which may prevent some medications from effectively working to treat the chronic itch.