Lichen planus affects one or more nails, sometimes without involving the skin. It is called twenty-nail dystrophy if all nails are abnormal and nowhere else is affected. The aim of this review is to provide practical management recommendations for the classical form of nail lichen planus, especially when restricted to the nails.

Understanding the Context

Lichen Planus Of The Nails has specific symptoms and causes. Find out about treatment approaches which help control symptoms and support overall well-being. It may be prescribed when nail disease is worsening rapidly, or lichen planus affects more than 3 nails. Patients usually take it daily for 4 to 6 weeks and then gradually reduce how much they take.

Key Insights

Lichen planus (LP) is a chronic, immune-mediated inflammatory disorder that affects the skin, mucous membranes, hair, and nails. 1 Among these, nail lichen planus (NLP) is an uncommon but potentially destructive variant that may lead to permanent nail deformities, such as pterygium and anonychia. 2 NLP can occur in isolation or alongside other ... Lichen planus (LP) is a chronic, immune-mediated inflammatory disease affecting the skin, mucous membranes (especially oral and/or genital), scalp, and nails. Oral LP is the most common subtype.

Final Thoughts

It is more prevalent in women, with prevalence increases progressively after age 40 (1). Nail lichen planus is a variant of lichen planus, an inflammatory skin condition, specifically affecting the nails. In this article, we delve into the symptoms, diagnosis, and management strategies for individuals dealing with nail lichen planus. Nail lichen planus should be considered in the differential diagnosis of progressive nail changes, and patients with onychodystrophy should be examined carefully for other mucocutaneous manifestations of lichen planus. Isolated nail lichen planus: An expert consensus on treatment of the ... In this narrative review, we emphasize the pathophysiology of nail lichen planus, the emergent nature of the disease, and the spectrum of different clinical manifestations.

Diagnosis of nail disease in general, and of nail lichen planus in particular, is rapidly evolving.