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Onychodystrophy in lichen striatus
1Division of Pediatric Dermatology, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205.
Pediatric Dermatology
|December 1, 1993
Summary
Lichen striatus, a common childhood rash, can rarely affect nails. This case highlights nail changes preceding the rash, suggesting consideration for isolated nail dystrophy in children.
Area of Science:
- Pediatric Dermatology
- Dermatopathology
- Ophthalmology
Background:
- Lichen striatus is a frequent pediatric skin condition.
- Co-occurrence of lichen striatus with nail dystrophy is exceptionally rare.
- Few documented cases link cutaneous lichen striatus to onychodystrophy.
Observation:
- A 12-year-old girl presented with lichen striatus and significant onychodystrophy.
- This represents the eighth reported instance in dermatologic literature.
- Nail abnormalities were observed to manifest before the characteristic skin rash.
Findings:
- The case underscores the infrequent association between lichen striatus and nail dystrophic changes.
- Nail alterations can serve as an early indicator of lichen striatus.
- This presentation expands the known spectrum of lichen striatus manifestations.
Implications:
- Pediatricians and dermatologists should consider lichen striatus in the differential diagnosis of unexplained nail dystrophy in children.
- Early recognition of nail changes may lead to timely diagnosis of lichen striatus.
- Further research may elucidate the pathogenic mechanisms linking these conditions.