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Therapeutic Approach

Lichen nitidus is an idiopathic lichenoid tissue reaction with unique histology and present with small, glistening, monomorphic, flesh-colored to pink or reddish-brown papules. Lichen nitidus is often asymptomatic and self-limiting, and most cases do not require treatment. Protracted pruritis (which is seen in less than 5% of cases), generalized disease, or lesions in cosmetically sensitive areas may warrant treatment. Skin-directed therapies are preferred in most cases. See Table 13-1.

Table 13-1Lichen NitidusTreatment Table

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