HomeAnswersDermatologylichen nitidusI have small colorless bumps on my arm and fingers. Why?

Kindly suggest the cause and treatment for the colorless bumps on my arms.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 14, 2018
Reviewed AtJanuary 29, 2024

Patient's Query

Hi doctor,

I have small colorless bumps on my arm and a couple on fingers of my hand. They do not cause any pain or itching. But, I have noticed that they were not present on my arm earlier, and I would like to avoid these spreading elsewhere. Kindly suggest the causes and treatment.

Hi,

Welcome to icliniq.com.

I have gone through the picture (attachment removed to protect patient identity). These tiny skin colored papules are called lichen nitidus. It is a harmless condition. In about 70 % of cases, it is self-limiting which means it resolves on its own, no treatment is usually required. If it is itchy, then use Mometasone cream, mix one part of cream with two parts of moisturizer and apply a thin layer to the affected area at night for two weeks only. Mometasone is a moderately potent topical corticosteroid. It should not be used continuously. Use it for two weeks. Take a break for a week then again use it for another two weeks if the skin lesions are still present. Olesoft moisturizing lotion (Olive oil with Sodium lactate) is fine. You can use any moisturizer or lotion but do not use cream or ointment because the ointment will be thick and can clog the pores. It is better to use lotion during summer.

Patient's Query

Thank you doctor,

Can you tell the reason why it manifests? Also, there is no itching and no pain, so should I use Mometasone cream or not?

Hi,

Welcome back to icliniq.com.

Lichen nitidus is an idiopathic condition where the exact cause is not known. There is a specific hypothesis which shows that it is linked to lichen planus in 25 % of cases, which is a chronic inflammatory condition. If the lesions are spreading, then you can use Mometasone as instructed. Otherwise, it is a self-limiting condition, and no treatment is needed. It is not contagious, and it does not spread from person to person.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ashwini. V. Swamy
Dr. Ashwini. V. Swamy

Venereology

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