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INTRODUCTION

KEY POINTS

  • Lichen nitidus has a morphology of pinpoint to flat-topped papules that is similar across skin colors.

  • However, the color of these papules can vary across skin colors from hypopigmented to skin colored to pink.

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FIGURE 9-1.

Numerous clustered light-brown to skin-colored fine monomorphic papules along the extensor forearm extending onto the dorsal hand. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 1-3.)

FIGURE 9-2.

Dense clustering of hypopigmented fine papules on a background of a Fitzpatrick type VI person from Africa. (From Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 95-19. Reproduced with permission from Barbara Leppard.)

FIGURE 9-3.

Scattered hypopigmented to skin-colored papules on the abdomen and arm, some of which are in a linear configuration representing koebnerization. (Reproduced with permission from Tilly JJ, Drolet BA, Esterly NB. Lichenoid eruptions in children. J Am Acad Dermatol, 2004;51(4):606-624.)

FIGURE 9-4.

Periumbilical hypopigmented to skin-colored fine papules expanding centrifugally onto the abdomen, with areas of subtle background erythema. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 12-53.)

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