Generalized Spinous Follicular Lichen Nitidus with Perifollicular Granulomas

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.

Adnexotropic Variants of the Interface Dermatitides: A Review

“…In addition, a specific clinical variant of LN has been described whereby the papules had a spinous follicular appearance. On histopathology, in addition to the classical LN findings, a granulomatous infiltrate around hair follicles was noted [20][21][22]. The presence of these perifollicular granulomas led authors to emphasize that this clinical variant may be misread as lichen scrofulosorum [20].…”