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Generalized Spinous Follicular Lichen Nitidus with Perifollicular Granulomas


Address correspondence to Karen Wiss, M.D., UMass Memorial Medical Center—Hahnemann Campus, 281 Lincoln Street, Worcester, MA 01605, or e-mail:


Abstract:  The first report of spinous follicular lichen nitidus with perifollicular granulomas was by Madhok and Winkelmann in 1988. Since this report, a few cases of follicular or periappendageal lichen nitidus have been described, in a more localized form or without perifollicular granulomas. We describe a 5-year-old girl with the rare generalized spinous follicular variant of lichen nitidus with perifollicular granulomas.