Answer 36

36.  Choice D is the correct answer.  Lichen Simplex Chronicus is a predilection of the skin that responds to trauma by epidermal hyperplasia.  It has no fungal properties so lotrisone is not indicated.  It can be treated with a combination of crude tar and zinc oxide, topical steroids, intra-lesion injections of triamcinolone, or occlusive dressings.