The initial stage of lichenification presents as hyperpigmentation of the skin, which is followed by the appearance of small hard papules, which can often be perceived only by touch, giving the lesion a bumpy or “pebbly” texture.
[3] When these papules are damaged, they will excrete blood and pus and as the condition progresses, deeper layers of the skin become thickened and indurated.
[1] 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.
[5] Generally, lichenification is treated with topical steroids and moisturizers,[6] but remedies including light-therapy and acupuncture are noted as well.