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This child has a line of skin colored papules stretching from the upper thigh to the ankle. Initially it was thought that the lesions were lichen striatus. The lesions of lichen striatus appear similar to those of lichen nitidus, but have a linear distribution. The histopathology is different. This child developed many other skin colored papules over the trunk during the next few months. When they were biopsied the histopathology of the lesions was found to be characteristic of lichen nitidus.