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Lichen nitidus (LN) is an uncommon dermatosis of unknown etiology. LN confined to the palms is an unusual presentation and only a few cases have been reported. The clinical features may mimic pompholyx, pitted keratosis, and porokeratotic eccrine ostial and dermal duct nevus. We herein report a rare case of palmar purpuric LN with characteristic dermoscopic findings.