Lichen Planus - DermAtlas - Dermatology Image Atlas

Contributor

Bernard Cohen, MD

Diagnosis

lichen planus

Body Site

nail, all

Age

12 years

Pigmentation

dark

Organization

Color

brown

Morphology

scale

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This healthy 12-year-old boy had a 2 year history of progressive nail dystrophy starting with a few nails and now involving all nails on fingers and toes except the left fourth finger. He had no skin or oral mucous membrane lesions and was minimally symptomatic. He complained of pain when his mother attempted to clip his nails.

Description

hyperpigmented dystrophic nails with uplifting, subungual debris, thick scaly nail bed, fragmentation and shortening of nails, with hint of pterygium

Image Added

2/13/2010 16:40:38

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Other Resources

PubMed Medline Plus Medscape

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