Nail Dystrophy, Beau Lines, Drug Reaction, Hyperpigmentation - DermAtlas

Contributor

Bernard Cohen, MD

Diagnosis

nail dystrophy Beau lines drug reaction, hyperpigmentation

Body Site

hand finger nail, hand

Age

14 years

Pigmentation

light

Organization

Color

Morphology

Pattern

Comments

A 14 year old boy with acute lymphocytic leukemia who received a bone marrow transplant 35 days earlier developed a violaceous lichenoid eruption on his palms and soles that disseminated to his arms, legs and trunk. The rash was minimally pruritic and resolved with high dose steroids. Note the transverse nail grooves and periungual hyperpigmentation (images of the tops of the hands and feet) from high dose cytoxan received before the transplant.

Description

periungual hyperpigmentation and transverse nail grooves

Image Added

9/8/2001 19:38:36

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Other Resources

PubMed Medline Plus Medscape

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