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A 7‐year‐old healthy girl presented with an 11‐month history of an asymptomatic red, dome‐shaped papule on her right medial elbow and 6‐month history of linearly distributed, few millimeter, flesh‐colored papules extending from and including the red papule. Histopathology demonstrated features of both a Spitz nevus and lichen striatus. The Spitz nevus was removed with a punch biopsy and the lichen...