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Childhood lichen planus with nail involvement: a case.

Pinar Oztaş1, Meltem Onder, Nilsel Ilter

  • 1Department of Dermatology, Gazi University Faculty of Medicine, Ankara, Turkey.

The Turkish Journal of Pediatrics
|December 31, 2003
PubMed
Summary
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Childhood lichen planus is rare, affecting children in only 2-3% of cases. This study details a nine-year-old girl

Area of Science:

  • Dermatology
  • Pediatric Dermatology
  • Rare Diseases

Background:

  • Childhood lichen planus is an uncommon dermatosis.
  • It typically presents with characteristic papules on the wrists and legs, and may affect mucous membranes.
  • Pediatric cases account for only 2-3% of all lichen planus diagnoses.

Observation:

  • A nine-year-old female presented with a widespread lichen planus (LP) presentation.
  • The patient exhibited nail involvement but no oral or genital mucosal lesions.
  • The condition was managed with systemic flucortolone (Ultralan) at an initial dose of 20 mg/day.

Findings:

  • The nine-year-old girl experienced regression of widespread lichen planus following treatment.
  • Nail involvement in childhood lichen planus was noted.

Related Experiment Videos

  • Absence of mucosal lesions was a key observation in this pediatric case.

    • Implications:

    • This case highlights the importance of considering lichen planus in pediatric patients with unusual presentations.
    • Systemic corticosteroid therapy, such as flucortolone, can be effective in managing severe childhood lichen planus.
    • Further research into pediatric lichen planus is warranted to understand its unique characteristics and treatment responses.