Dermoscopy of lichen nitidus: a study of 20 cases


  • Anmol Bhargava Department of Dermatology, Seth G.S. Medical College and KEM hospital, Parel, Mumbai, Maharashtra, India
  • Vidya Kharkar Department of Dermatology, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
  • Shefali Saini Department of Dermatology, Seth G.S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India



Dermoscopy, LN, Lichenoid disorders


Lichen nitidus (LN) is a chronic inflammatory lichenoid dermatosis, commonly seen in childhood or early adulthood. In this case series, we studied the various dermoscopic features of LN and correlate them with clinical variants, duration of disease and histopathology. A total of 20 patients of LN were studied. The mean age was 25.7 years with 45% and 55% male and female, respectively. The median duration of disease was 6 months. The dermoscopic findings seen on non-polarizing mode were-shiny elevated surface with absence of skin markings (100%), scaling (70%), radial ridges (50%) and central depression (35%). Findings seen on polarizing mode were-hypopigmentation (100%), brown shadow (70%), linear vessels (65%), accentuation of surrounding reticulate pigment network (65%), diffuse erythema (45%). Newer findings seen were central grey-brown structureless areas (30%), speckled brown pigment (40%), curvilinear vessels (50%), branching/serpentine vessels (20%), radial vessels (10%), white dots and streaks (30%) and ring-in-ring appearance (5%). LN presents fairly distinctive dermoscopic features and dermoscopy can be a non-invasive, painless aid in differentiating it from close clinical differentials and avoid the need for a biopsy, especially in children.


Cox NH, Coulson IH. Systemic disease and the skin. In: Burns T, Breathnach S, Cox N, Griffiths C, eds. Rook’s Textbook of Dermatology, 8th ed. Oxford, UK: Wiley-Blackwell. 2010;41.1-41.28.

Black MM. Lichen planus and lichenoid disorders. In: Champion RH, Burton JL, Ebling FJG (eds) Textbook of Dermatology 5th Ed. New Jersey, USA: Blackwell Scientific Publication. 1992.

Gomathi V, Narashimman K. Clinico epidemiological study of lichen nitidus in a tertiary care centre in South India. Int J Res Dermatol. 2018;4:250-3.

Jakhar D, Grover C, Kaur I, Sharma S. Dermatoscopic features of lichen nitidus. Pediatr Dermatol. 2018;00:1-2.

Shrestha S, Mishra A. Actinic lichen nitidus with dermoscopic features, and response to hydroxychloroquine. Trichol Cosmetol Open J. 2019;1(2):11-4.

Qian G, Wang H, Wu J, Meng Z, Xiao C. Different dermoscopic patterns of palmoplantar and nonpalmoplantar lichen nitidus. J Am Acad Dermatol. 2015;73(3):e101-3.

Chun-Yu C, Cheng-Sheng C, Yu-Huei H. Palmar purpuric lichen nitidus-clinicopathological and dermoscopic findings. Dermatologica Sinica. 2013;31(3):137-9.