A mother brings her 9-year-old girl daughter to your urgent care center because she’s concerned about a rash that developed on the girl’s face over the past week. On examination, you find a fine, scaly, pigmented plaque with pink and violaceous hues on her lower cheek. The lesion has a linear configuration. The patient and her family have a history of atopy, but the girl is well-appearing and has no systemic symptoms.

View the photo taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Lichen striatus
Figure 1.
A 9-Year-Old Girl with a New Rash on Her Face
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