“…In particular, 1) if minute purpuric papules are present on the hands, lichen nitidus can be confused with dyshidrotic eczema; 2) if minute keratotic papules are present on the body, it can be confused with follicular eczema; and 3) if confluent hyperkeratotic papules are present on the palms, it can be resemble chronic fissured eczema. Under a variety of conditions, lichen nitidus may also resemble lichen scrofulosorum, lichenoid syphilitic lesions, bowenoid papulosis, lichen amyloid (24), and cutaneous sarcoid (40), which itself resembles “metastatic” CD.…”