BACKGROUND: Nail involvement in lichen striatus (LS) is rare and has not been documented extensively. OBJECTIVES: This study describes the clinical and histological features, response to treatment, and follow-up in seven patients with nail LS. METHODS: We reviewed seven cases of nail LS between 2006 and 2012 at the Dermatology Department, Yeouido St Mary's Hospital, Seoul, South Korea. RESULTS: The median patient age was 11 years (range: 4-33 years), and the female:male ratio was 3:4. All patients had both typical skin lesions and nail abnormalities. In these cases, LS usually involved a single digit (n = 5). The most common nail change was longitudinal fissuring (n = 4). We actively treated both skin and nail lesions from the time of diagnosis. Most nail lesions resolved within a mean of four months of the initiation of treatment. CONCLUSIONS: Nail involvement in LS is rare; this case series highlights the associated nail changes. We emphasize that early accurate diagnosis and treatment may be beneficial in reducing nail deformities in patients with nail involvement.
BACKGROUND:Nail involvement in lichen striatus (LS) is rare and has not been documented extensively. OBJECTIVES: This study describes the clinical and histological features, response to treatment, and follow-up in seven patients with nail LS. METHODS: We reviewed seven cases of nail LS between 2006 and 2012 at the Dermatology Department, Yeouido St Mary's Hospital, Seoul, South Korea. RESULTS: The median patient age was 11 years (range: 4-33 years), and the female:male ratio was 3:4. All patients had both typical skin lesions and nail abnormalities. In these cases, LS usually involved a single digit (n = 5). The most common nail change was longitudinal fissuring (n = 4). We actively treated both skin and nail lesions from the time of diagnosis. Most nail lesions resolved within a mean of four months of the initiation of treatment. CONCLUSIONS:Nail involvement in LS is rare; this case series highlights the associated nail changes. We emphasize that early accurate diagnosis and treatment may be beneficial in reducing naildeformities in patients with nail involvement.
Authors: Marco A Chessa; Matilde Iorizzo; Bertrand Richert; Jose L López-Estebaranz; Dimitrios Rigopoulos; Antonella Tosti; Aditya K Gupta; Nilton Di Chiacchio; Nilton G Di Chiacchio; Adam I Rubin; Robert Baran; Shari R Lipner; Ralph Daniel; Soumya Chiheb; Chander Grover; Michela Starace; Bianca M Piraccini Journal: Dermatol Ther (Heidelb) Date: 2019-11-20