Lichen nitidus is composed of multiple, discrete, smooth, and flat, round papules. Individual papules are 1–2 mm in size, flesh-colored to slightly pink or, in blacks, hypopigmented, with a glistening appearance Sometimes, minimal scale is present or can be elicited by rubbing the surface of the papules. Occasionally, the papules are grouped and the isomorphic or Koebner phenomeno..