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nail lichen

Scientific Name: Pilophorus clavatus

Family: Stereocaulaceae

Category: Lichen

Growth: Lichenous

Duration:

Other Names:

       

Lichen Planus and Nail Involvement

Lichen planus (LP) is a relatively common inflammatory condition that can affect various parts of the body, including the skin, mouth, scalp, genitals, and nails.

Considerations for Children

  • Research specifically focuses on "Nail Lichen Planus in Children," indicating that this condition can affect younger individuals.

Considerations for Pets

  • The provided text focuses solely on human health conditions and does not explicitly mention risks to animals or information related to the plant's interactions with animals.

Symptoms and Characteristics

  • Nail lichen planus (NLP) can manifest as thinning, longitudinal ridging, and distal splitting of the nail plate.
  • Affected nails may become brittle or split, and exhibit lengthwise ridges.
  • In severe cases, the nail may be lost.
  • A sand-papered appearance can be present in some cases.

Prevalence

  • Nail changes are reported in approximately 10% of lichen planus cases.
  • Oral lesions occur in about one-third of patients with lichen planus, while nail involvement occurs in about 10 percent of reported cases.

Associated Conditions

  • Nail lichen planus can be associated with other conditions like yellow nail syndrome or lichenoid reactions.
  • Trachyonychia is seen in 10% of patients affected by nail lichen planus (LP).
  • Nail involvement in lichen striatus (LS) is uncommon and has always been reported in association with typical skin lesions.

Diagnosis and Treatment

  • Diagnosis can be confirmed through nail biopsy.
  • Treatment of nail lichen planus is considered difficult, and optimal therapy may be lacking.
  • Medications and treatments may be recommended for lichen planus of the skin, hair, and nails.

Further Information

  • Research from JAMA Dermatology &#8212 Nail Lichen Planus in Children &#8212 Clinical Features, Response to Treatment, and Long-term Follow-up.
  • Official Full-Text Publication: Successful Treatment of Nail Lichen Planus with Topical Tacrolimus on ResearchGate.
  • Dermatoscopy of nail lichen planus. Int J Dermatol 2013 52:684. Daniel CR III. Simple Onycholysis. In: Nails: Diagnosis, Therapy, and Surgery,.
  • , Peluso AM, Fanti PA, Piraccini BM. Nail lichen planus: clinical and pathologic study of twenty-f patients. J Am Acad Dermatol 1993 28: 724-30.