A Florid, Tiny, Discrete Eruption on the Penis

Multiple papules on the genitalia in two young men

“…It typically develops in children and young adults and most frequently affects the forearms, abdomen, chest, buttocks and genitalia. 1 Lichen nitidus is characterised by the presence of numerous small, asymptomatic, uniform, skin-coloured papules with a shiny surface. Lichen nitidus on the genitalia can be challenging for physicians to diagnose and is often mistaken for an STI, especially condyloma acuminatum.…”

“…Clinical observation is a common treatment option. 1 Topical corticosteroids and calcineurin inhibitors can be considered. Other therapies, including systemic corticosteroids, antihistamines, acitretin and phototherapy (narrowband ultraviolet [UV] B and psoralen plus UVA), are reported in some chronic, persistent and generalised cases.…”

A CASE REPORT of Lichen Nitidus on the Penis: Tiny but Annoying Eruptions

“…It is clinically characterized by the presence of multiple discrete papules that are tiny, shiny, flat-topped, and of varied colors. 1 Histopathologically, lichen nitidus presents as a well-circumscribed lymphohistiocytic infiltrate in a “claw clutching a ball” pattern in the papillary dermis. 2 The clinical manifestations, histopathology, and immunohistochemistry showed that the disease was different from lichen planus.…”