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Lichen nitidus is composed of multiple, discrete,

smooth, and flat, round papules. Individual papules

are 1–2 mm in size, flesh-colored to slightly pink or,

in blacks, hypopigmented, with a glistening appearance

 Sometimes, minimal scale is present or

can be elicited by rubbing the surface of the papules.

Occasionally, the papules are grouped and the isomorphic

or Koebner phenomenon is observed. Lesions

may occur anywhere over the skin surface; however,

the most frequent sites of predilection are the flexural

surfaces of the arms and the wrists, lower abdomen,

breasts, the glans and shaft of the penis, and other

areas of the genital region. Infrequently lichen nitidus

is a generalized eruption.

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