Lichen nitidus : Causes-Symptoms-Diagnosis-Treatment

 What is Lichen nitidus?

Lichen nitidus is an uncommon skin disorder, and we do not know what causes it. White or skin-colored bumps seem on body components like your abdomen, chest, or the backs of your hands.

Lichen nitidus could be a rare skin condition that causes clusters of bumps on the skin. The bumps seem impromptu, while not a visible cause. it's not contagious. ‌

What is Lichen nitidus?
Lichen nitidus

The clusters of bumps will show informed multiple spots on your body. they sometimes do not hurt, however they'll itch. Since the bumps will seem on your face, you will feel embarrassed or uncomfortable regarding your skin appearance. Lichen nitidus goes away on its own once your time. Their square measures a couple of treatments that will facilitate speed up recovery.

Lichen nitidus is rare, thus conclusions vary. Some sources indicate that it appears to have an effect on males a lot more typically than females, and African Americans a lot more typically than Caucasians. It additionally appears to have an effect on the young a lot more typically than the previous. different sources indicate that quality and sex don't matter.

  1. Skin

  2. Subcutaneous tissue

Medical terms

  • Lichen nitidus (LIE-kun ni-TIE-dus) could be a rare skin condition that sometimes seems as little, skin-colored, glossy bumps on the surface of your skin. Lichen nitidus results from abnormal inflammatory activity in skin cells, however the explanation for inflammation is unknown.
  • Although lichen nitidus might have an effect on anyone, it generally develops in kids and young adults. Lichen nitidus seldom causes discomfort and typically clears abreast of its own while not treating.
  • Lichen nitidus does not increase your risk of carcinoma, ANd it is not a communicable disease that may unfold to people.

 Lichen nitidus a common skin condition characterized by smooth shiny bumps on the upper arms and shoulders is sometimes confused with an STD because it commonly causes clusters of bumps that look similar to genital warts Lichen nitidus occurs when keratin builds up in the skin's tiny hair follicles causing redness or itching and forming tiny bumps These bumps tend to be no more than a millimeter in size.

Symptoms Lichen nitidus

The main symptom of lichen nitidus is clusters of tiny, raised bumps on your skin. it's going to seem like alternative kinds of rashes, however it's some distinctive characteristics, such as:

Appearance. The bumps are terribly tiny, rarely larger than the scale of a pinhead. The bumps are spherical and topped. The bumps are going to be about the color of your skin. They feel solid and don't seem to be stuffed with fluid. On folks with dark skin, the bumps could seem lighter than the encircling skin. folks with light-weight color skin would possibly notice a dark or cerise tint to the bumps.

Location. the foremost common spots of the body for lichen nitidus eruptions at the chest, abdomen, arms, buttocks, and crotch. In rare cases, they'll seem on your palms, soles of your feet, or fingernails. Lichen nitidus could clearly inform one part of your body on the other hand. you'll notice that clusters of bumps seem on the skin wherever you've got a minor injury sort of a scratch. They will erupt in places wherever there's pressure on your skin, crease of skin on your elbow or articulatio radiocarpea, or in skin folds on your abdomen.


Discomfort. there's not typically any discomfort related to lichen nitidus. Some folks experience haptic sensation, which may vary from delicate to intense. If lichen nitidus affects your fingernails, it will cause deep ridges within the nail that eventually grow out.

Lichen nitidus appears as clusters of tiny, glistening bumps (papules). Characteristics of the bumps include the following:

  • Size. The bumps range in size from pinpoint to pinhead size.

  • Shape. They are flat topped and round.

  • Color. Bump squares measure sometimes the same color as your skin. they'll be slightly pink on folks with lighter skin, or lighter than traditional coloring on folks with darker skin. 

  • Location. Lichen nitidus bumps ordinarily occur on the chest, abdomen, arms and venereal areas, as well as the phallus. They seldom occur on the palms, soles of the feet or fingernails. Lichen nitidus could clear up at one website on your body then again seem at another. 

  • Itch. In rare cases, the bumps of lichen nitidus could itch, typically intensely. they will seem during a line wherever there is a scratch, crease or constant pressure on the skin, like a fold of skin on the abdomen or the crease of skin on the within of the elbow or radiocarpal joint. 

When to see a doctor

See your doctor if little bumps or a rash-like condition seems on your skin for no apparent reason, like a known allergy or contact with poison vine. As a result of a variety of conditions that will cause skin reactions, it is best to urge a prompt and correct diagnosing.

Get immediate care if your skin condition is in the course of different signs and symptoms, such as:

  • Fever

  • Itching

  • Pus or oozing from a rash

Causes Lichen nitidus

Doctors are not positive what causes lichen nitidus. Its associate degree inflammatory reaction, however the trigger is not clear. Some consultants suppose it'd be connected to an associated degree of underlying immune condition in some individuals, however there is not any definitive analysis on the problem. Often, individuals with lichen nitidus produce other conditions, like disease of the skin, atopic eczema, or erythema. there's no confirmed association between those conditions.

Doctors do not know what causes lichen nitidus. At one point, it had been thought that the condition was a kind of lichen.

The explanation for lichen nitidus is unknown. The papules that seem to area unit the results of inflammation controlled by white blood cells referred to as T lymphocytes. Normally, these cells work to heal malady or injury, like a cut on your finger. Doctors and researchers do not know what prompts T lymphocytes to be activated in lichen nitidus.

Risk factors Lichen nitidus

Lichen nitidus seems to be more likely to develop in children and young adults.

Association with other diseases

Because lichen nitidus is rare, most info regarding the disorder is understood from individual cases or tiny studies. Links between lichen nitidus and different diseases are not well-understood, however they will include:

  • Lichen planus, an inflammatory condition typically characterized by patches of red or purple, flat-top, fidgety bumps on the skin or lacy white patches on the secretion membranes of the mouth 

  • Atopic dermatitis (eczema), an inflammatory skin condition typically characterized by dry, restless rashes on the face, within the elbow, behind the knees, and on the hands and feet 

  • Crohn's disease, inflammation of the lining of your digestive tract, which can lead to abdominal pain, severe diarrhea and malnutrition

  • Juvenile rheumatoid arthritis, an inflammatory disease that causes persistent joint pain, swelling and stiffness

  • Tuberculosis, an infectious disease that most often affects the lungs

What kills lichen on skin?

If you have a skin rash that is growing red flaky patches of what looks like scabs or lichen it may have been caused by contact with plants Plants such as poison oak sumac and ivy can cause skin rashes when the plant's white sap gets on your skin The itch and redness usually go away within a few days or weeks without treatment But if you think the rash will last longer than seven days without getting better or worse see your doctor because it might be something more serious.

Does lichen skin go away?

Lichen planus is a skin condition that occurs when the body mounts an immune response against some unknown agent (or factors) Scientists believe that this disorder might be caused by an abnormal reaction in the immune system As with other autoimmune disorders the immune system's recognition of normal tissues as foreign contributes to its attack on these tissues Lichen planus causes inflammation and the formation of characteristic rashes ("plaques") on sun-exposed areas such as the lips inside of your cheeks or on your shins It is important for you to seek medical treatment for lichen planus because it can lead to infections and other complications if.

What is the best cream for lichen planus?

Lichen planus is a long-lasting rash that appears on the skin and inside of your mouth It's not caused by an infection but rather from a type of cell in the body called keratinocytes These cells are responsible for making the structural protein which gives skin its strength as well as protecting it from invading microbes One way to treat lichen planus is to apply steroidal creams directly to the affected area Apply the cream three times daily or as directed by your doctor.

Does Vitamin D Help With Lichen planus?

Yes Vitamin D helps prevent the development of lichen planus as well as several other disorders including multiple sclerosis and lupus This vitamin is also useful in treating autoimmune disorders which are caused by the immune system mistakenly attacking healthy tissue in the body Vitamin D has also been shown to protect against numerous illnesses diseases and infections that can make conditions such as lichen planus worse or even cause it.

Can Aloe Vera help lichen planus?

Once you have lichen planus there is no known cure The majority of people can control the irritation they experience with treatment and self-care advice Some studies have found that aloe vera gel may offer some relief from symptoms associated with lichen planus However more research is needed on this subject before any conclusions can be drawn about how effective aloe gel might be for people with lichen planus.

Is Vitamin C good for lichen planus?

The good news is that there are many treatments available for lichen planus including topical steroids systemic steroids and vitamin C Topical Vitamin C has been used with success in the treatment of people with lichen planus In one study involving 51 patients microneedling was used to introduce topically applied Vitamin C directly into the lesions of the skin disorder It’s important to note that this was a preliminary study and more clinical trials are required before it can be conclusively determined that microneedling with Vitamin C is an effective treatment for lichen planus.

Complications Lichen nitidus

Lichen nitidus may be a harmless condition that does not lead to long skin issues or medical complications. However, the looks of lichen nitidus could cause someone to be self-conscious or embarrassed.

Diagnosis Lichen nitidus

A doctor diagnoses lichen nitidus by examining the looks and placement of the skin bumps.

To confirm the identification, your doctor or your child’s doctor could use a take a look at known as a diagnostic assay. Throughout this take a look at, a doctor removes atiny low sample of skin tissue to review it underneath a magnifier.

Your doctor or skin doctor makes an identification of lichen nitidus or another skin condition supporting the data you offer concerning the symptoms and a careful examination of the skin abnormality.

  1. Skin test

Your doctor could use a light microscope to see your skin. Or he or she could take atiny low sample of tissue (biopsy) and appear at it underneath a magnifier.

Treatment Lichen nitidus

Most cases of lichen nitidus don't need treatment.

In some cases, doctors manage symptoms with medication known as corticosteroids, that reduce swelling. Some doctors treat lichen nitidus with irradiation (a procedure that delivers actinic radiation into your skin).

For most folks, lichen nitidus lasts for a number of months to a year. The condition typically clears abreast of its own while not treatment. Once it clears up, the look of the skin is sometimes traditional with no scarring or permanent amendment to coloring.

If lichen nitidus causes skin sensation or if you have got considerations regarding your look or your child's look, your doctor could inflict one in every of the subsequent treatments:

  • Corticosteroids may cut back inflammation related to lichen nitidus. The aspect effects vary depending on whether or not it's used as an associate degree ointment applied on to the skin (topical) or taken as a pill (oral). Long use of topical corticosteroids will cause dilution of the skin, an alteration of the treatment result and alternative skin issues. Long use of oral corticosteroids will cause weakening of the bones (osteoporosis), diabetes, high pressure and high cholesterol levels. 

  • Retinoid is an artificial version of anti ophthalmic factor which will be a topical or oral treatment. The topical treatment does not cause the facet effects related to corticosteroids, however it should irritate the skin.
    Because retinoid will cause birth defects, it should not be utilized by ladies United Nations agencies are pregnant or United Nations agencies may become pregnant. Your doctor will advise you on necessary precautions. 

  • Other topical medications. A topical drug referred to as tacrolimus (Protopic) helps to suppress the response and will be useful for lichen nitidus. attainable aspect effects embrace stinging, burning and cutaneous sensation at the positioning wherever the medication is applied. This medication cannot be employed in conjunction with radiation. Limit sun exposure whereas victimization tacrolimus and do not use tanning beds throughout treatment. 

  • Antihistamines act against a protein called histamine that is involved in inflammatory activity. An oral or topical antihistamine may relieve itching associated with lichen nitidus.

  • Phototherapy, a type of sunshine medical care, could facilitate clear up lichen nitidus. One sort uses ultraviolet A (UVA) lightweight, that penetrates deep into the skin. This medical care is typically utilized in combination with a drug that creates the skin a lot sensitive to UVA lightweight. Another sort uses slim band ultraviolet B (UVB) lightweight. It is vital to avoid sun exposure for a few days when having radiotherapy. Also, you would like to wear special UV-absorbing eyeglasses for a few days to shield your eyes. 

Preparing for your appointment

You'll likely begin by seeing your kid's pediatrician, otherwise your medical aid doctor if your child or you square measure is experiencing a skin condition. you'll then be called a specialist in skin conditions (dermatologist).

Here's some data to assist you make preparations for your appointment.

What you can do

Before your appointment make a list of:

  • Symptoms you or your child have been having, including any that may seem unrelated to the reason for which you scheduled the appointment

  • All medications, vitamins and supplements that you or your child takes

  • Questions to ask your doctor

For lichen nitidus, some basic questions to ask your doctor include:

  • What's the most likely cause of my symptoms?

  • Do I need any tests?

  • How long can I expect this condition to last?

  • What treatments are available, and which do you recommend?

  • What side effects can I expect from treatment?

  • Are there any restrictions on what types of products I use on my skin?

  • Is there a generic alternative to the medicine you're prescribing me?

  • Do you have any brochures or other printed materials I can take with me? What websites do you recommend visiting?

What to expect from your doctor

Your doctor is likely ask you a number of questions, such as:

  • When did you first notice the appearance of the tiny bumps?

  • Where are the patches of bumps located?

  • Have the patches of bumps changed in appearance over time?

  • Do the bumps itch? How much or how often?

  • Does anything further irritate the site, such as certain soaps or lotions?

  • Are there any known allergies?

  • Do you or immediate family members have a history of atopic eczema, asthma or hay fever?

General summary

  1. There are actually several effective therapies for lichen sclerosus including topical steroids and a combination of 2.5% tretinoin cream and 0.05% clindamycin gel applied to the affected area twice daily Aloe vera has been found to provide temporary relief from itching and irritation associated with LIchEn sclerOsUs Calcipotriene ointment (applied topically) has proven beneficial in some cases as well In most instances your doctor will prescribe 0.1% or less hydrocortisone cream for application to the visible red areas on your skin caused.

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