The generalized form of lichen nitidus (LN) with oral and nail changes
is extremely rare in childhood, We report a 10-year-old boy with gene
ralized LN associated with oral involvement and onychodystrophy. Oral
lesions showed yellowish papules on the gums. The nails had longitudin
al striations and pits on the finger-nails, and transversal ridging of
the big toes was found. Cutaneous and mucosal lesions as well as onyc
hodystrophy spontaneously cleared within 8 months.