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Spinous follicular lichen nitidus with perifollicular granulomas is one such variant characterized by generalized follicular as well as nonfollicular keratotic papules, which show perifollicular granulomas on histopathology as well as a lichenoid granulomatous tissue reaction typical of lichen nitidus. Owing to its atypical clinical and histopathologic manifestations, it raises several clinical possibilities and can be a diagnostic challenge. We report this rare variant of lichen nitidus in a 19\u2010year\u2010old female, and discuss its clinical and histopathological differential diagnosis.<\/jats:p>","DOI":"10.1111\/cup.13712","type":"journal-article","created":{"date-parts":[[2020,4,14]],"date-time":"2020-04-14T08:43:15Z","timestamp":1586853795000},"page":"834-839","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["An unusual variant of lichen nitidus: Generalized follicular spinous with perifollicular granulomas"],"prefix":"10.1111","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0305-4077","authenticated-orcid":false,"given":"Neha","family":"Taneja","sequence":"first","affiliation":[{"name":"Department of Dermatology and Venereology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department 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