RT Book, Section
A1 Marek, Michaela R.
A1 Kowalewski, Catherine
A2 Usatine, Richard P.
A2 Sabella, Camille
A2 Smith, Mindy Ann
A2 Mayeaux, E.J.
A2 Chumley, Heidi S.
A2 Appachi, Elumalai
SR Print(0)
ID 1114876413
T1 Lichen Nitidus and Lichen Striatus
T2 The Color Atlas of Pediatrics
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-176701-9
LK accesspediatrics.mhmedical.com/content.aspx?aid=1114876413
RD 2024/04/20
AB An  8-year-old  Hispanic  boy  presents  for  evaluation  of  mildly  itchy,  pinpoint  bumps  that  have  been  present  for  2  to  3  months.  The  “rash”  is  primarily  involving  the  patient’s  trunk.  Patient  is  otherwise  healthy,  and  no  one  else  at  home  has  a  similar  eruption.  The  mother  of  the  patient  has  tried  some  over-the-counter  hydrocortisone,  which  has  helped  some  with  the  mild  itching,  but  the  lesions  persist.  The  pediatrician  noted  the  linear  pattern  of  the  pinpoint  papules  and  made  the  clinical  diagnosis  of  lichen  nitidus  (Figure  139-1).  These  lines  represent  the  Koebner  phenomenon  caused  by  scratching  done  by  the  child  in  areas  that  are  reachable.