Home > E. Pathology by systems > Skin > lichen nitidus

lichen nitidus

Monday 11 March 2013

WP

Lichen nitidus is a chronic inflammatory disease of unknown etiology characterized by 1–2 mm, discrete and uniform, shiny, flat-topped, pale flesh-colored or reddish-brown papules that may appear as hypopigmented against dark skin.

Occasionally, minimal scaling is present or can be induced by rubbing the surface of the papules.

The disease usually affects children and young adults and is painless and usually nonpruritic, although protracted itching may occur in some cases. It is sometimes referred to by dermatologists as "mini lichen planus".

Microscopy

- localized granulomatous lymphohistiocytic infiltrate in an expanded dermal papilla
- thinning of overlying epidermis
- downward extension of the rete ridges at the lateral margin of the infiltrate, producing a typical ’claw clutching a ball’ picture.