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nail lichen

Scientific Name: Pilophorus nigricaulis

Family: Stereocaulaceae

Category: Lichen

Growth: Lichenous

Duration:

Other Names:

       

Nail Lichen Planus: An Overview

Nail lichen planus (NLP) is an inflammatory condition affecting the nails, often characterized by thinning, longitudinal ridging, and distal splitting of the nail plate. It can affect both fingernails and toenails. While mild cases may be asymptomatic, others can cause itching and burning sensations.

Considerations for Children

  • Nail lichen planus can affect children.
  • A 6-year-old boy is mentioned as an example case in the provided text.

Symptoms and Characteristics

  • Thinning of the nail plate
  • Longitudinal ridging and grooving
  • Distal splitting of the nail plate
  • Brittle or split nails
  • Longitudinal depressions in the nail plate
  • Nail loss (in severe cases)
  • Sand-papered appearance (in around 10% of individuals with nail lichen planus)

Related Conditions

  • Lichen planus can also affect the skin, mouth, scalp, and genitals.
  • Oral lesions occur in approximately one-third of patients with lichen planus.
  • Trachyonychia is seen in 10% of patients affected by nail lichen planus (LP).
  • Yellow nail syndrome and lichenoid reactions can originate from close or identical etiologies.

Diagnosis and Treatment

  • Diagnosis may require a nail biopsy to confirm the presence of lichen planus.
  • Treatment of nail lichen planus can be difficult, and an optimal therapy is lacking.
  • Topical Tacrolimus has been used successfully in treating Nail Lichen Planus.
  • There are a number of medications and treatments that may be recommended for lichen planus of the skin, hair and nails.

Prevalence

  • Nail involvement occurs in about 10 percent of reported lichen planus cases.
  • Nail Lichen Planus occurs in 10 percent cases.
  • Nail lichen planus (LP) is an uncommon disease of the skin with a prevalence reported between.

Research and Resources

  • Research from JAMA Dermatology &#8212 Nail Lichen Planus in Children &#8212 Clinical Features, Response to Treatment, and Long-term Follow-up.
  • Full-Text Publication: Successful Treatment of Nail Lichen Planus with Topical Tacrolimus on ResearchGate
  • 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.