Lichen Striatus with Nail Involvement in a 6-Year-Old Boy.

Alexander K C Leung,Benjamin Barankin,Kin Fon Leong

doi:10.1155/2020/1494760

Alexander K C Leung, Benjamin Barankin + Show 1 more

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https://doi.org/10.1155/2020/1494760

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Abstract

We describe a 6-year-old boy with an asymptomatic linear eruption on the left index finger with mild erythema of the proximal nail fold, nail dystrophy, and subungual hyperkeratosis of the nail. A diagnosis of nail lichen striatus was made. The child was successfully treated with a topical corticosteroid. Because of its rarity, nail lichen striatus is often under-recognized. Physicians should be familiar with the nail involvement in individuals with lichen striatus so that an accurate diagnosis can be made and unnecessary investigations and treatment avoided.

Highlights

Nail lichen striatus is rare [1]. ere are approximately 30 cases of nail lichen striatus reported in the literature [1]. e condition is likely under-reported and under-recognized partly due to the failure to recognize the nail changes associated with lichen striatus. ere is no established treatment of nail lichen striatus
We report a 6-year-old boy with nail lichen striatus who responded to topical mometasone cream twice a day for three months to the skin lesions and proximal nail fold with resolution of the skin lesions and onychodystrophy
Based on the characteristic physical findings, a diagnosis of nail lichen striatus was made. e child was treated with topical mometasone cream twice a day for three months over the skin lesions and liberal use of emollients. e skin lesions resolved in three months

Summary

Introduction

Nail lichen striatus is rare [1]. ere are approximately 30 cases of nail lichen striatus reported in the literature [1]. e condition is likely under-reported and under-recognized partly due to the failure to recognize the nail changes associated with lichen striatus. ere is no established treatment of nail lichen striatus. Nail lichen striatus is rare [1]. Ere are approximately 30 cases of nail lichen striatus reported in the literature [1]. E condition is likely under-reported and under-recognized partly due to the failure to recognize the nail changes associated with lichen striatus. Ere is no established treatment of nail lichen striatus. We report a 6-year-old boy with nail lichen striatus who responded to topical mometasone cream twice a day for three months to the skin lesions and proximal nail fold with resolution of the skin lesions and onychodystrophy

Case Report

Discussion

Conclusion