Lichen Nitidus Symptoms & 10 best DIYs

Lichen Nitidus

What is Lichen Nitidus?

Lichen nitidus is a rare and infrequent inflammatory skin disorder in children that manifests as little skin-colored bumps on the skin’s surface. It was once thought to be a variety of lichen planus, but it is now thought to be a unique and different species.

Because Lichen nitidus is such a rare fungus, the outcomes might be unpredictable. L.nitidus usually appears in early childhood, particularly in preschool and primary school-aged children, or in early adulthood. There is no known etiology for L. nitidus. It’s a type of lichen that doesn’t bother you and usually fades away on its own.

This disease does not increase your risk of skin cancer, and it is not an infectious disease that may spread to others.

Lichen nitidus
Fig1: Lichen nitidus

Who Gets Lichen Nitidus?

This disease affects men and women equally, and individuals of all races are affected. It appears to impact men more than women, and African Americans more than Caucasians, according to some accounts. It also appears to affect children and teenagers more commonly than it does the elderly. Race and gender, according to some authorities, are immaterial.

Symptoms of Lichen Nitidus

This disease simply causes pimples to form on the body in various locations. They might develop in clusters or be strewn around in a random pattern. They can emerge in the shape of a scratch in rare circumstances. It looks like a clump of small, gleaming bumps (papules).

The following are characteristics of bumps:

  • They’re circular and have a flat top.
  • The bumps are a little too large, ranging from a pinhead to a pinpoint.
  • The chest, abdomen, arms, and genital areas, including the penis, are all common locations for pimples due to this disease. They are seldom found on the palms of the hands, the soles of the feet, or the fingernails. However it may vanish from one place of your body but recur in another.
  • Your bumps are often the same color as your skin. They may be somewhat pink on people with lighter skin, whilst they may be lighter than normal on people with darker skin.
  • The lumps can itch intensely in certain circumstances. They can appear along a line where the skin has been scraped, wrinkled, or is under constant strain, such as a fold on the abdomen or a crease on the inside of the elbow or wrist.

The most prevalent locations for these conditions are:

  • Abdomen.
  • The palms of the hands.
  • Buttocks.
  • Chest.
  • Forearms.
  • Penis.

This disease might impact the palms and soles of the feet. This might be unilateral or bilateral, localized or combined with lesions in more common locations. It can be restricted to the palms appears to affect people in their forties and fifties (ages 37 to 52) and is particularly persistent.

Lichen nitidus can affect the mouth lining, and it happens more frequently than is recorded. The following are the clinical characteristics of this location:

  • Inside the cheeks, there are little grey-white flat papules (buccal mucosa)
  • Plaques on the tongue and hard palate are white in color.
  • It’s possible that it’s similar to oral lichen planus.

Causes of Lichen Nitidus

There is no known cause for this diseases. T lymphocytes, which are white blood cells, control inflammation, which causes papules to form. These cells are usually in charge of mending illnesses or injuries, such as a cut on your finger. According to doctors and researchers, T cells are activated at this condition for unexplained causes.

It has been linked to the following:

  • Crohn’s disease: It is a chronic inflammatory bowel
  • Lichen planus: It is a kind of lichen that grows on the face
  • HIV infection: It is a virus that causes AIDS.
  • Down syndrome: It is a condition in which a person
  • Atopic dermatitis: It is a kind of dermatitis that affects the
  • Congenital Megacolon
  • Chronic arthritis in children and adolescents
  • It may spread in the family at times.

How is lichen nitidus diagnosed?

The look and location of the skin lumps are used by a clinician to diagnose Nitidus.

A biopsy may be used by your doctor or your child’s doctor to confirm the diagnosis. A doctor takes a tiny sample of skin tissue for examination under a microscope during this procedure.

The histology of Nitidus is fairly characteristic, with the appearance of a claw and a ball:

  • Infiltrate of dense lymphohistiocytic cells in the upper dermis near the epidermis.
  • In the hemorrhagic/purpuric variant, red blood cells can be seen just beneath the epidermis.
  • The epidermis’ rete ridges are elongated, and they ‘clutch’ the infiltrate.
  • In the perforating variety, eosinophilic dermal material with some cell nuclei can be observed within the epidermis.
  • The infiltration frequently contains Langhans large cells.

Many people are confused about whether can Nitidus be cured? The answer is, There is currently no treatment for this disease, and the cause is unknown. The illness might be caused by an overactive immune system, according to researchers. Lichen nitidus is not communicable and does not have the potential to turn into something more dangerous. It usually goes away on its own without any additional treatment. Lichen nitidus usually lasts a few months to a year in most people. Without therapy, the problem normally goes away on its own. After it clears up, the skin normally looks normal again, with no scarring or permanent changes in skin tone.

Diagnosis
Fig 2: Diagnosis of lichen nitidus

Treatment Methods of Lichen Nitidus?

Because Nitidus normally causes no symptoms and disappears in two-thirds of cases within a year, there is usually no need for therapy. Post-inflammatory hyperpigmentation can last for months, or even years, depending on the severity.

Doctors may use corticosteroids, which reduce swelling, to treat symptoms in some circumstances. Phototherapy, a method that transmits ultraviolet light into your skin, is used by some doctors to treat Nitidus.

Complications

Lichen nitidus is a non-cancerous skin disorder that does not cause long-term difficulties or medical concerns. Nitidus, on the other hand, might make a person feel self-conscious or humiliated because of small skin-colored bumps on the face.

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What can be Mistaken for Lichen Nitidus?

There are various illnesses that might appear to be quite similar to Nitidus and must be distinguished.

Flat warts, 1- to 2-mm skin-colored to slightly hyperpigmented or hypopigmented or pink papules may be mistaken for Lichen nitidus. The linear spread of warts caused by autoinoculation might be confused for the Koebner phenomenon, which is common in Nitidus. The rough surface of flat warts may be seen when magnified.

Most individuals can’t tell the difference between lichen nitidus and lichen planus.

Larger, pruritic, polygonal, purple-grey, flat-topped papules and plaques distinguish lichen planus from Nitidus. In lichen planus, oral involvement is prevalent, and confluent plaques can create Wickham’s striae, a lacy white reticulated network. Lichenoid drug eruptions may resemble lichen planus or lichen nitidus clinically, however they are irritating and uncommon in youngsters. In the proper clinical situation, chronic graft-versus-host disease with a lichenoid eruption should be explored.

Ointments-

Ointments such as cortisone which contains inflammation-reducing corticosteroids can be used as directed by your doctor. Tacrolimus, which is a type of topical calcineurin inhibitor helps in slowing down the rate of T cells that are released by your immune system.

Homeopathic Treatment of Lichen Nitidus

Treatment
Fig3: Homeopathic Treatments

Homeopathy has been proved to be an effective way for the treatment of Nitidus. With the help of homeopathy, the symptoms causing discomfort like itching can be controlled and it can also reduce eruptions while stopping it from spreading. With the support of homeopathy, This disease can be cured on a permanent basis and will provide you with long-term ease.

It is vital to address the diet in order to lessen the symptoms and hasten the elimination of the condition; it should be as healthy as possible, avoiding refined sugars, animal fats, and junk meals or processed foods.

  • Increase your everyday consumption of vegetable juices and fresh fruits.
  • Taking a clove of raw garlic or the juice of a lemon diluted in half a glass of warm water on an empty stomach are excellent remedies for purifying the body and weakening the symptoms to the maximum; they even speed up the disappearance of the disease because both garlic and lemon are excellent bactericides and have numerous medicinal properties.
  • Maintaining proper dental hygiene includes flossing at least once a day, gently washing gums, inner cheeks, and tongue, and swishing with a pinch of bicarbonate diluted in half a glass of water once a day.
  • Smoking, consuming alcohol, and irritants are all things that should be avoided.
  • To relieve itching, use broad bean powder, crushed garlic, or tea compresses of chamomile or mint to the afflicted region. If the itching is severe, it is important to avoid scratching and instead tap on the afflicted Nitidus region.
  • Take at least 2 glasses of fresh apple juice or goji berries, without combining with food, as your final meal and half an hour before bedtime. This treatment is really effective. If you don’t have any fresh apple juice on hand, eat the apples whole or treat the berries like grapes. These two fruits are fantastic for treating skin problems. This medication should be used on a daily basis.
  • Aloe vera juice is also a good choice. It can be taken in the afternoon or with lunch instead of water.
  • Vitamin A will aid in the efficient and correct healing of skin lesions if you drink a glass of fresh carrot juice every day.
  • Drink plenty of water and limit your salt intake during meals.
  • Apply green tea compresses to the Nitidus afflicted region.

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