Clinical features and treatment outcomes of nail lichen planus: A retrospective study

Autor: Sumanas Bunyaratavej, Charussri Leeyaphan, Pranittra Suphatsathienkul, Rungsima Kiratiwongwan, Supisara Wongdama, Panrudee Wechsuruk
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: JAAD Case Reports
JAAD Case Reports, Vol 17, Iss, Pp 43-48 (2021)
ISSN: 2352-5126
Popis: Lichen planus is a benign, chronic, mucocutaneous disorder that affects the skin, mucosae, and nails. The occurrence of nail lichen planus has been reported to be about 10% to 15%.1,2 Nail lichen planus is more common in adults than in children, and it mostly affects the fingernails rather than the toenails.3 The many nail abnormalities found in nail lichen planus depend on its pathologic location: the nail matrix or the nail bed. Dorsal pterygium is an irreversible and classic finding in nail lichen planus. The disease may lead to permanent disfigurement, which has both functional and psychological consequences. Early diagnosis and prompt treatment are also important to prevent the development of pterygium. Nail lichen planus can sometimes be difficult to diagnose and differentiate from other nail disorders. This is especially the case in patients without other mucocutaneous findings. Systemic corticosteroids are the first-line treatment, but they have inconsistent outcomes. There are few published reports on the clinical characteristics and treatment outcomes of nail lichen planus in Asians. The aims of our study were to review the clinical characteristics of, treatment approaches to, and treatment outcomes of nail lichen planus.
Databáze: OpenAIRE