Linear nail bed dyschromia: a distinctive dermoscopic feature of nail lichen planus

Grover, Chander; Kharghoria, Geetali; Bhattacharya, Sambit

doi:10.1111/ced.13809

Cited by 13 publications

(22 citation statements)

References 5 publications

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“…Linear nail bed dyschromia was a distinctive onychoscopic feature seen as the commonest nail bed change (28%). This observation has earlier been reported by us in 12 nails in a series of 7 patients 8 . Onychoscopy thus improved the detection of LP induced changes in the nail bed also.…”

Section: Discussionsupporting

confidence: 85%

Nail dermatoscopic (onychoscopic) features of nail lichen planus: A cross‐sectional study

2020

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Section: Discussionsupporting

confidence: 85%

Nail dermatoscopic (onychoscopic) features of nail lichen planus: A cross‐sectional study

2020

Self Cite

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“…There are limited data on the clinical characteristics of nail changes in LP and most of the studies available focused on isolated nail unit involvement. [3][4][5] LP limited to the nails is an extremely rare variant of the disease. Isolated NLP was shown to affect primarily matrix of the fingernails and a male preponderance was noted.…”

Section: Discussionmentioning

confidence: 99%

“…Matrix lesions include thinning of the plate, longitudinal ridging and fissuring, trachyonychia, erythematous lunulae, chromonychia, longitudinal erythronychia and/or melanonychia, pterygium formation, pitting, atrophy of the nail apparatus, or scarring of the nail unit. 3,4 There is no unified consensus regarding the necessity to perform a nail biopsy to confirm the diagnosis of NLP. Nevertheless, the histopathological examination remains the gold standard.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Similarly to the involvement of hair follicles with LP, which may lead to irreversible scarring and hair loss, NLP is considered to be a “nail emergency.” 8 Unfortunately, there is limited literature reporting the characteristics of nail involvement in LP and only several larger series have been published to date. 3 -10 Therefore, there is a need for more detailed description of the clinical characteristics of NLP.…”

Section: Introductionmentioning

confidence: 99%

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Nail Changes in Lichen Planus: A Single-Center Study

Żychowska

2020

J Cutan Med Surg

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Background Lichen planus (LP) is an inflammatory condition that can affect skin, mucous membranes, hair follicles, and/or nails. Nail abnormalities are estimated to occur in around 10% of LP cases. Clinical characteristics of nail involvement have been the subject of very few studies, which have mainly focused on isolated nail LP. Objectives To identify and describe nail alterations in patients with LP. Methods Seventy-five patients with cutaneous lichen planus (CLP) were included in the study. The diagnosis of LP was histologically confirmed in each case. Onychomycosis was excluded in each patient. Results Nail lesions were present in 21 (28%) patients (mean age 58.1 ± 12.55 years) with CLP. On an average, patients had 9.38 nails affected. A slight female preponderance was noted (57%). Nail involvement was independent of age, gender, presence of pruritus, the affected skin area, or the duration of CLP. The most common finding in the fingernails ( n = 122) was longitudinal ridging (85.2%), followed by nail plate thinning (38.2%) and onycholysis (17.2%). Pterygium formation (6.6%) and red lunulae (8.2%) were limited to the fingernails. In the fingernails, matrix involvement (98.4%) was more frequent than nail bed involvement (27%). The most common finding in the toenails ( n = 75) was hyperkeratosis (82.7%) with yellowish discoloration (69.3%). No cases of trachyonychia or anonychia were noted. Conclusions Nail abnormalities in patients with CLP may be more common than initially assessed. Rare formation of pterygium and absence of anonychia in patients with predominant cutaneous involvement might point at mild course of the nail disease in such cases.

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Acquired Disorders of the Nails and Nail Unit

Pasch,

Richert,

Iorizzo

2024

Rook's Textbook of Dermatology

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Diseases of the nail unit may have numerous causes that reflect dermatology as a whole but often present in a unique way. This chapter attempts to increase insight into the pathophysiology of the expression of nail abnormalities. It also focuses on many groups of nail disease, including traumatic nail disorders, tumours of and around the nail unit, perionychial disorders, age‐related nail abnormalities, and frequent dermatoses affecting the nails, such as nail psoriasis, eczema and lichen planus. Imaging of the nail, nail surgery and some cosmetic aspects of nail care are also discussed.

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Linear nail bed dyschromia: a distinctive dermoscopic feature of nail lichen planus

Cited by 13 publications

References 5 publications

Nail dermatoscopic (onychoscopic) features of nail lichen planus: A cross‐sectional study

Nail dermatoscopic (onychoscopic) features of nail lichen planus: A cross‐sectional study

Nail Changes in Lichen Planus: A Single-Center Study

Acquired Disorders of the Nails and Nail Unit

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