A fifty-year-old male teacher presented with variable skin thickening and scaling in the lower limb which arose secondary to repetitive scratching or rubbing from underlying stressful life. The clinical diagnosis was found to be lichen simplex chronicus (LSC), which responded favorably to antipruritic agent plus corticosteroid and advice to stop the itch-scratch cycle to prevent permanent necrotized keratinization (lichen amyloidosis).