Leathery Neck
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Reviewed By:

Sarita Nori, MD

Sarita Nori, MD (Dermatology)

Dr. Sarita Nori was drawn to dermatology because of the intersection of science and medicine that is at the heart of dermatology. She feels this is what really allows her to help her patients. “There is a lot of problem-solving in dermatology and I like that,” she explains. “It’s also a profession where you can help people quickly and really make a difference in their lives.” | Some of the typical skin problems that Dr. Nori treats include skin cancers, psoriasis, acne, eczema, rashes, and contact dermatitis. Dr Nori believes in using all possible avenues of treatment, such as biologics, especially in patients with chronic diseases such as eczema and psoriasis. “These medications can work superbly, and they are really life-changing for many patients.” | Dr. Nori feels it’s important for patients to have a good understanding of the disease or condition that is affecting them. “I like to educate my patients on their problem and have them really understand it so they can take the best course of action. Patients always do better when they understand their skin condition, and how to treat it.”

Yukiko Ueda, MD

Yukiko Ueda, MD (Dermatology)

Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.

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Content updated on Jan 4, 2023

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  • My skin got thicker

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About the Symptom

Lichenification is when the skin becomes thick and leathery. It may have a bumpy texture and be darker than surrounding skin. It can have multiple causes including itch and sun damage.

Possible causes

Generally, Leathery neck can be related to:

  • Psoriasis (except for pustular psoriasis)

    A skin disease caused by the immune system attacking the skin cells, which leads to red-brown reas of thickened skin with a silvery scale. It is thought to have some genetic predisposition and then triggered by factors such as environment, infections, and stress. Rarely it can be due to medications.

  • lichen nitidus . lichen striatus

    Rashes often seen in kids. They look like lines of raised, pink, small bumps on the skin. The exact cause is unknown.

  • Atopic dermatitis

    Allergic rashes. Risk factors include genetics, other allergic diseases, new skin products, and allergic foods. Childhood eczema cases can resolve by adulthood, but it can also occur in adults.

  • Lichen nitidus
  • Asteatotic eczema
  • Palmoplantar pustulosis
  • Discoid / Nummular eczema
  • Pruritus

Related serious diseases

Sometimes, Leathery neck may be related to these serious diseases:

  • Pseudoaleseriosis / Skedosporium disease

    Scedosporiosis is a range of diseases caused by the fungus Scedosporium. These fungi can cause infection in various body organs, usually when the immune system is weakened or compromised.

Doctor's Diagnostic Questions

Your doctor may ask these questions to check for this symptom:

  • Do you have areas of rough or thick skin?

  • Is your skin itchy?

  • Do you feel any pain or tingling in the affected skin areas?

  • Do you have a fever?

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References

  • Aboobacker S, Harris BW, Limaiem F. Lichenification. 2022 May 8. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 30726017.

    https://www.ncbi.nlm.nih.gov/books/NBK537332/

  • Weber FP, Jupe F. Lichenification. Proc R Soc Med. 1935 Mar;28(5):510-1. PMID: 19990191; PMCID: PMC2205855.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2205855/

  • Díaz JM, Bruñén JMG, Cameo RB, González AM. Erythroderma and Chronic Lichenification. Eur J Case Rep Intern Med. 2019 May 29;6(6):001119. doi: 10.12890/2019_001119. PMID: 31293993; PMCID: PMC6601693.

    https://www.ejcrim.com/index.php/EJCRIM/article/view/1119

  • Dore SE. Circumscribed Lichenification (Névrodermite). Proc R Soc Med. 1912;5(Dermatol Sect):147. PMID: 19975743; PMCID: PMC2005842.

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2005842/

  • Sbrana F, Loggini B, Galimberti S, Coceani M, Latorre M, Seccia V, L'Abbate S, Mosca M, Pasanisi EM, Baldini C. Chronic skin lichenification as unusual presentation of eosinophilic granulomatosis with polyangitis: case report and literature review. Acta Reumatol Port. 2016 Apr-Jun;41(2):158-61. English. PMID: 27606476.

    http://www.arprheumatology.com/article_download.php?id=1183

Reviewed By:

Sarita Nori, MD

Sarita Nori, MD (Dermatology)

Dr. Sarita Nori was drawn to dermatology because of the intersection of science and medicine that is at the heart of dermatology. She feels this is what really allows her to help her patients. “There is a lot of problem-solving in dermatology and I like that,” she explains. “It’s also a profession where you can help people quickly and really make a difference in their lives.” | Some of the typical skin problems that Dr. Nori treats include skin cancers, psoriasis, acne, eczema, rashes, and contact dermatitis. Dr Nori believes in using all possible avenues of treatment, such as biologics, especially in patients with chronic diseases such as eczema and psoriasis. “These medications can work superbly, and they are really life-changing for many patients.” | Dr. Nori feels it’s important for patients to have a good understanding of the disease or condition that is affecting them. “I like to educate my patients on their problem and have them really understand it so they can take the best course of action. Patients always do better when they understand their skin condition, and how to treat it.”

Yukiko Ueda, MD

Yukiko Ueda, MD (Dermatology)

Dr. Ueda graduated from the Niigata University School of Medicine and trained at the University of Tokyo Medical School. She is currently a clinical assistant professor at the Department of Dermatology, Jichi Medical University, and holds several posts in the dermatology departments at Kyoto Prefectural University of Medicine, Komagome Hospital, University of Tokyo, and the Medical Center of Japan Red Cross Society.

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