Nail lichen striatus: report of seven cases and review of the literature

Kim, Miri; Jung, Hwa Young; Eun, Young Sun; Cho, Baik Kee; Park, Hyun Jeong

doi:10.1111/ijd.12643

Cited by 29 publications

(34 citation statements)

References 11 publications

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“…Nail involvement appears a few weeks after the initial skin lesions. Nail changes may occasionally be the only clinical sign, and they are typically limited to one portion of the nail and include findings such as longitudinal fissuring, onycholysis, and distal splitting [33]. The condition is asymptomatic and self-limiting and should be suspected when a child presents lichen planus-like abnormalities in a single nail.…”

Section: Preschoolers: From 3 To 5 Years Of Agementioning

confidence: 99%

Nail Disorders in Children

Starace

Alessandrini

Piraccini³

2018

Skin Appendage Disord

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Nail diseases in children do not account for a significant proportion of pediatric consultations, and most of the time the nails are not observed by the clinician, overlooking their importance. Specific examination of the nails is neglected, while localization to the nails could be an initial sign of a syndrome or a systemic disorder. Nail diseases in the pediatric population differ from those in adults in terms of diagnostic approach and management; some of them even are manifested mainly or exclusively in children. Pediatric patients with underlying systemic disorders are more likely to manifest acquired disorders of the nails. Although rare, nail diseases in children are a source of anxiety for the parents. Examination of the nails is an essential part of pediatric physical examination. A correct clinical history and careful examination help the clinician to distinguish the different conditions and to decide on the correct management of nail diseases in young patients. A classification of nail dystrophies according to age is somewhat arbitrary and a unique classification does not exist. Nail diseases in the pediatric population can be divided according to age groups where a predilection appears in most of the cases. Moreover, certain abnormalities may be lifelong once acquired, but their presentation may be modified by age, worsening or improving during life. This review describes many of the nail conditions that are seen in the pediatric population aging from newborn to toddler, starting with physiological aspects to better recognize the pathological conditions.

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Section: Preschoolers: From 3 To 5 Years Of Agementioning

confidence: 99%

Nail Disorders in Children

Starace

Alessandrini

Piraccini³

2018

Skin Appendage Disord

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“…When the inflammation involves the nail matrix, the defective keratin synthesis produces classic lichenoid nail changes, usually limited to one side of the nail plate. Cases of central nail plate involvement have also been described . Longitudinal ridging, fissuring, fraying, and nail plate thinning are the typical clinical features, and the clinical degree of severity of these changes correlates with the intensity of the nail matrix inflammation present.…”

Section: Introductionmentioning

confidence: 99%

Nail lichen striatus: Is dermoscopy useful for the diagnosis?

Iorizzo

Rubin

Starace

2019

Pediatric Dermatology

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Background/Objectives Lichen striatus is a unilateral inflammatory dermatosis that rarely affects the nail unit. When the inflammation involves the nail unit, classic lichenoid nail changes are easily detectable, more often limited to only one portion of the nail. Usually the nail dystrophy coexists with periungual skin papules following Blaschko's lines, but it could also be an isolated feature. Because a nail unit biopsy presents difficulties in execution, especially in a child, the aim of our study has been to describe the nail unit dermoscopy features of lichen striatus hoping to provide a valid aid to clinicians in the diagnosing this rare disorder. Methods We reviewed the images of five pediatric patients with a clinical diagnosis of lichen striatus. Data about sex, age, localization, predisposing/triggering factors, and associated disorders are reported. Results The diagnosis of lichen striatus can be challenging as there are clinically overlapping features with related dermatoses. A common diagnostic pitfall occurs with inflammatory linear verrucous epidermal nevus and lichen planus. Involvement of only one part of the nail plate with linear longitudinal fissuring, ridging, and distal splitting, especially if seen with perionychial skin lesions, is characteristic of lichen striatus. Conclusions Nail lichen striatus is rare, and there is sparse published literature on it. When the changes in lichen striatus are limited to the nail, the diagnosis may easily be missed. We therefore believe that dermoscopy is an important diagnostic maneuver, which should be integrated into the evaluation of patients with potential lichen striatus, and in particular is helpful for clinicians unwilling or unable to perform a nail unit biopsy.

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“…Nail involvement in lichen striatus can present with longitudinal ridging, fissures, transverse grooves, lateral splitting, onycholysis, subungual hyperkeratosis, onychorhexis, and partial loss of nail plate (Jakhar & Kaur, ; Kim, Jung, Eun, Cho, & Park, ). Trachyonychia can either be idiopathic or secondary to disorders like lichen planus, psoriasis, vitiligo, eczema, and so on.…”

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confidence: 99%

Intramatricial platelet‐rich plasma therapy: A novel treatment modality in refractory nail disorders

Kaur

Jakhar

2019

Dermatologic Therapy

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Two patients, one with nail lichen striatus and second with idiopathic trachyonychia were treated with intramatriceal injections of platelet‐rich plasma. A total of 0.1 ml of the plasma solution was injected into the matrix of the involved nails at three weekly intervals. Follow‐up was done at each sitting and thereafter at 16 and 20 weeks. Assessment was done both photographically and by dermoscopy. Case 1 showed marked improvement within 3 weeks and Case 2 showed improvement within 6 weeks. No relapses were seen at 16 and 20 weeks of follow up. Intramatricial PRP is a safe and effective therapeutic modality in nail lichen striatus and idiopathic trachyonychia refractory to other treatment options. Further studies with larger sample size and controls are required to validate the results.

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Nail lichen striatus: report of seven cases and review of the literature

Abstract: Background Nail involvement in lichen striatus (LS) is rare and has not been documented

Cited by 29 publications

References 11 publications

Nail Disorders in Children

Nail Disorders in Children

Nail lichen striatus: Is dermoscopy useful for the diagnosis?

Intramatricial platelet‐rich plasma therapy: A novel treatment modality in refractory nail disorders

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