Sezgi Sarikaya Solak1, Burak Emre Sezer2, Mete Anzerlioglu2, Zeynep Tokmak2, Canberk Topuz3. 1. Department of Dermatology, Faculty of Medicine, Trakya University, Edirne, Turkey. 2. Faculty of Medicine, Trakya University, Edirne, Turkey. 3. Department of Pathology, Faculty of Medicine, Trakya University, Edirne, Turkey.
Abstract
Introduction: Frontal fibrosing alopecia (FFA) is characterized by irreversible, symmetrical band-like hair loss in the frontotemporal region. Lichen planus pigmentosus (LPP) is a variant of lichen planus (LP) that presents with hyperpigmented macules and patches predominantly in sun-exposed areas. Nail LP is a subtype of LP that can be present alone or with other forms of LP. Case Report: We report a rare case of a 59-year-old woman presenting with symmetrical, gray-brown, hyperpigmented lesions on her neck and face, band-like alopecia in the frontotemporal region, severe onycholysis in two fingernails, and prominent longitudinal ridging in all fingernails. Clinical, dermoscopic, and histological findings established a diagnosis of FFA associated with LPP and nail LP was established. Discussion/ Conclusion: In recent years, it has been established that FFA can be associated with LPP and it is thought to be a variant of lichen planopilaris. Nail involvement is rarely reported in FFA or LPP. To our knowledge, the presence of the three conditions in the same patient has not been previously reported. Although rare we would like to emphasize the importance of a careful examination of the nails in patients with FFA and/or LPP to prevent irreversible nail changes.
Introduction: Frontal fibrosing alopecia (FFA) is characterized by irreversible, symmetrical band-like hair loss in the frontotemporal region. Lichen planus pigmentosus (LPP) is a variant of lichen planus (LP) that presents with hyperpigmented macules and patches predominantly in sun-exposed areas. Nail LP is a subtype of LP that can be present alone or with other forms of LP. Case Report: We report a rare case of a 59-year-old woman presenting with symmetrical, gray-brown, hyperpigmented lesions on her neck and face, band-like alopecia in the frontotemporal region, severe onycholysis in two fingernails, and prominent longitudinal ridging in all fingernails. Clinical, dermoscopic, and histological findings established a diagnosis of FFA associated with LPP and nail LP was established. Discussion/ Conclusion: In recent years, it has been established that FFA can be associated with LPP and it is thought to be a variant of lichen planopilaris. Nail involvement is rarely reported in FFA or LPP. To our knowledge, the presence of the three conditions in the same patient has not been previously reported. Although rare we would like to emphasize the importance of a careful examination of the nails in patients with FFA and/or LPP to prevent irreversible nail changes.
Authors: R Pirmez; B Duque-Estrada; A Donati; G Campos-do-Carmo; N S Valente; R Romiti; C T Sodré; A Tosti Journal: Br J Dermatol Date: 2016-10-23 Impact factor: 9.302
Authors: Matthew J Harries; Francisco Jimenez; Ander Izeta; Jonathan Hardman; Sreejith Parameswara Panicker; Enrique Poblet; Ralf Paus Journal: Trends Mol Med Date: 2018-04-13 Impact factor: 11.951
Authors: Juan Carlos Robles-Méndez; Paulina Rizo-Frías; Maira Elizabeth Herz-Ruelas; Amit G Pandya; Jorge Ocampo Candiani Journal: Int J Dermatol Date: 2017-10-26 Impact factor: 2.736