Extraordinary Case ReportPerforating Lichen NitidusZussman, Jamie MD; Smart, Chandra N. MDAuthor Information Division of Dermatopathology, Department of Pathology, University of California, Los Angeles, CA. Reprints: Jamie Zussman, MD (e-mail: email@example.com). The authors declare no conflicts of interest. The American Journal of Dermatopathology: May 2015 - Volume 37 - Issue 5 - p 406-408 doi: 10.1097/DAD.0000000000000211 Buy Metrics Abstract Abstract: Transepidermal elimination and/or perforation of the epidermis is seen in a variety of conditions but has only rarely been reported in association with lichen nitidus. We describe a case of lichen nitidus with the unique finding of epidermal perforation, a feature that made the usual straightforward diagnosis of lichen nitidus much more difficult. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.