• Changes due to scratching, including accentuation of normal lines of skin
• Associated with squamous cell hyperplasia
• A final common pathway of many itchy / scratchy diseases
• Usually becomes part of "itch-scratch cycle" - patient's skin is irritated, patient scratches or picks at it, skin thickens defensively, leads to more itching / scratching; breaking this cycle is often key to resolving problem (wiseGEEK)

• Medications to relieve itching sensation and sedatives can help patient scratch less

Spaces between fingers

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