Longitudinal erythronychia presents as a red stripe running along the nail plate, originating from the base of the nail and stretching to its tip. It can vary in appearance and is categorized into different types based on the number and pattern of red stripes: type Ia (single stripe), Ib (split single stripe), IIa (single stripe affecting multiple nails), and IIb (multiple stripes affecting multiple nails). Additional symptoms may include nail brittleness and separation from the nail bed (onycholysis). Erythronychia can stem from various underlying conditions, including tumors, and diagnosis often involves a nail biopsy, especially in older patients, to rule out cancer. Treatment depends on the cause and may involve surgical removal if the condition causes discomfort or severe nail damage. Longitudinal erythronychia is gaining attention among dermatologists and other medical professionals due to its significance in diagnosing nail plate disorders. The appearance of red stripes on the nails can indicate a range of issues, from tumors to systemic diseases and injuries. Recent years have seen an uptick in reported cases, underscoring the need for research into its causes, diagnosis, and treatment. Despite increasing interest, many aspects of longitudinal erythronychia remain unclear. This review aims to examine existing clinical studies to better understand its defining features, risk factors, and diagnostic and therapeutic strategies. The review will draw from contemporary literature to provide up-to-date insights into this phenomenon.
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