Generalized Lichen Nitidus in a Middle-Aged Adult

Lichen nitidus (LN) is a benign micropapular eruption of unknown etiology that often follows an unpredictable course. LN typically affects children and young adults and presents with asymptomatic, discrete, uniform, skin colored, pin-point sized papules.¹ These papules are commonly found on the chest, abdomen, flexor surfaces of the upper extremities, dorsal hand, and anogenital region.¹ Focal presentation is more common while generalized distribution of LN is rarer and seen more exclusively in pediatric patients.² Although patients are typically asymptomatic, pruritus is sometimes a noted symptom.¹ We report the diagnosis and treatment of an uncommon case of generalized LN in a middle-aged adult.