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February 1984

Successful Treatment of Lichen Nitidus

Author Affiliations

Department of Dermatology Bristol Royal Infirmary Bristol BS2 8HW, England

Arch Dermatol. 1984;120(2):155-156. doi:10.1001/archderm.1984.01650380015003

To the Editor.—  Lichen nitidus is a rare clinical entity first described by Pinkus in 1907.1 The lesions are pinhead-sized papules, pink or flesh colored, and often arranged in groups. While the eruption is generally asymptomatic, the patient may seek a dermatologic opinion for cosmetic reasons. Up to now, to our knowledge, no treatment has ever been described as more than partially successful. I describe a patient with lichen nitidus who seems to have been cured by the use of 0.05% fluocinonide cream.

Report of a Case.—  A 24-year-old woman was seen in 1980 with a 12-year history of nonirritating, pinhead-sized lesions that had first appeared on the right arm and then spread to involve large areas of her body surface. She was in good general health with no contributory medical history. Examination revealed multiple, discrete, pearly

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