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nail lichen

Scientific Name: Pilophorus vegae

Family: Stereocaulaceae

Category: Lichen

Growth: Lichenous

Duration:

Other Names:

       

Nail Lichen Planus

Lichen planus is an inflammatory condition that can affect various parts of the body, including the skin, mouth, scalp, and nails. Nail lichen planus (NLP) specifically impacts the nails, and while mild cases may be asymptomatic, more severe instances can cause significant changes and discomfort.

Considerations for Children

  • Research has specifically investigated Nail Lichen Planus in children, including clinical features, treatment response, and long-term follow-up.
  • One case study mentions a 6-year-old boy exhibiting rough and brittle nails.

Characteristics of Nail Lichen Planus

  • Thinning of the nail plate
  • Longitudinal ridging and grooving
  • Distal splitting of the nail plate
  • Brittle or split nails
  • Nail loss (in severe cases)
  • Longitudinal fissuring
  • A sand-papered appearance (in some instances)
  • Proximal-to-distal linear depressions in the nail plate.

Symptoms

  • Itching and burning sensations
  • Asymptomatic nail changes can occur.

Occurrence

  • Nail involvement occurs in approximately 10 percent of reported lichen planus cases.
  • Nail Lichen Planus occurs in 10 percent of cases
  • Trachyonychia is seen in 10% of patients affected by nail lichen planus (LP).
  • Nail changes have been reported in about 10 percent of lichen planus cases.

Associated Conditions

  • Yellow nail syndrome
  • Oral lesions occur in approximately one-third of patients with lichen planus
  • Alopecia totalis
  • Lichen striatus (LS)

Treatment

  • Treatment of nail lichen planus (LP) is difficult, and an optimal therapy is lacking.
  • Topical Tacrolimus has been used for successful treatment of Nail Lichen Planus

Resources and Further Information

  • Research from JAMA Dermatology
  • ResearchGate, the professional network for scientists.