Lichen simplex chronicus, not true is

Lichen simplex chronicus Represents end stage of variety of pruritic and eczematous disorders, including Atopic Dermatitis. It consists of a circumscribed/ demarcated plaque of lichenified skin due to chronic scratching or rubbing. Common areas involved include the posterior nuchal region, dorsum of feet and ankles. Treatment :centers on breaking the cycle of chronic itching and scratching. High-potency topical glucocoicoids , But in recalcitrant cases, application of topical glucocoicoids under occlusion, or intralesional injection of glucocoicoids is required.