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nail lichen
Scientific Name: Pilophorus
Family: Stereocaulaceae
Category: Lichen
Growth:
Duration:
Other Names:
Nail Lichen Planus: An Overview
Lichen planus (LP) is a chronic inflammatory and immune-mediated disease that can affect various parts of the body, including the skin, oral mucosa, genital mucosa, scalp, and nails. When it specifically affects the nails, it is known as nail lichen planus (NLP).
The term 'lichen' in dermatology refers to small bumps on the skin, while 'planus' means flat. The condition can appear on one or several parts of the body simultaneously.
Considerations for Children
- Nail lichen planus can occur in children.
- Research from JAMA Dermatology focuses specifically on nail lichen planus in children, examining clinical features, treatment responses, and long-term follow-up.
Considerations for Pets
The provided text focuses on the human condition of nail lichen planus and does not contain information on its effects on pets. Therefore, no pet-specific considerations can be provided.
Symptoms and Clinical Features
- Nail lichen planus is characterized by thinning of the nail plate.
- Longitudinal ridging and grooving can occur on the nails.
- Distal splitting of the nail plate is another common feature.
- Affected nails may become brittle or split.
- In severe cases, nail loss can occur.
- Itching and burning sensations may be present.
- A "sand-papered" appearance may be observed in some individuals.
- Linear depressions may appear in the nail plate, progressing from proximal to distal.
Prevalence and Occurrence
- Lichen planus is a relatively common skin disease.
- Nail changes are reported in approximately 10% of lichen planus cases.
- Nail lichen planus occurs in about 10 percent of all cases of lichen planus.
- Oral lesions occur in approximately one-third of patients with lichen planus.
Diagnosis and Treatment
- Diagnosis may involve a nail biopsy to confirm histopathologic features of lichen planus.
- Treatment of nail lichen planus is often difficult, and an optimal therapy is still lacking.
- Several medications and treatments may be recommended for lichen planus of the skin, hair, and nails.
Research and Further Information
- Research from JAMA Dermatology focuses on Nail Lichen Planus in Children.
- Further research can be found on ResearchGate, including studies on successful treatment with topical Tacrolimus.