Lichen Planus, Nail Dystrophy, Onychoschizia, Onycholysis - DermAtlas

Contributor

Shahbaz A. Janjua, MD

Diagnosis

lichen planus nail dystrophy onychoschizia onycholysis

Body Site

nail, foot

Age

40 years

Pigmentation

medium

Organization

confluent

Color

white/hypo yellow

Morphology

papulosquamous (bump, scale)

Pattern

symmetric

Comments

This 40-year-old woman had a 1 year history of reticulated white plaques on a violaceous background on the dorsal surface of her tongue associated with burning after eating spicy foods. Other findings included thinning, ridging, and onycholysis of her toe nails with pemanent destruction of the matrix of her big toe nails. She had multiple, symmetric, linear,atrophic papules affecting the first finger web spaces extending on to the sides of thumbs and index fingers. She was treated with high potency topical steroids.

Description

thinning, ridging, splitting of the nail plate with scale and fibrosis of the nail bed

Image Added

4/24/2003 23:36:09

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Other Resources

PubMed Medline Plus Medscape

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