Lichen nitidus (LN) is a rare cutaneous disorder characterized by the presence of multiple, usually asymptomatic, small papules, most commonly localized on the neck, chest, forearms, abdomen and genitalia. Rare cases of generalized LN and of palmoplantar LN have been reported, and to our knowledge, no cases of concomitant generalized and palmoplantar LN have been described. We present the case of a 7-year old girl with generalized and palmoplantar pruritic LN. This cutaneous disorder has a pathognomonic histopathology characterized by a dermal lymphohistiocytic infiltrate in a ball in claw configuration. It is usually self-limited, but diffuse or persistent disease is indication for treatment.