Lichen Nitidus of the Palms and Soles. Presented by Richard B. Odom, MD, Kenneth M. Stein, MD.
A 50-year-old white woman has had crops of asymptomatic palmar lesions for many years. No other family members are affected. She has not had any malignant skin conditions. The palms and medial aspects of the soles are studded with multiple small depressed pits surrounded by discrete borders. X-ray films of the skull, jaw, and hand are normal.
Dr. Odom: A search of the English literature revealed no other cases in which lichen nitidus is limited strictly to the palms and soles. The lesions have been present at least since early childhood. Six patients with involvement of the palms and soles also had other areas of the body that were involved: the wrists, elbows, fingers, back, knees, ankles, and genitalia (Arch Dermatol 104:538, 1971). Clinically, the lesions of the palms and soles may closely resemble
Arundell FD. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1974;110(2):309-310. doi:10.1001/archderm.1974.01630080093051