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Onychodystrophy in lichen striatus

D L Karp1, B A Cohen

  • 1Division of Pediatric Dermatology, Johns Hopkins Medical Institutions, Baltimore, Maryland 21205.

Pediatric Dermatology
|December 1, 1993
PubMed
Summary
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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.

Related Experiment Videos

  • 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.