Lichen planus is a pruritic, papular skin condition characterized by violaceous polygonal papules and plaques that commonly appear on the wrists, genitals, and mucous membranes. While lichen planus does not typically have a racial predilection, one study found higher rates among African American children. In patients with dark skin like African Americans, the lesions will not appear violaceous but rather be pigmented, though they can still have a shiny appearance when light reflects off of them. The document then describes a case report of a 30-year-old African American female patient referred for assessment of pigmented lesions on her skin that had appeared over the prior 4 months.