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Lichen planus localized to the nails

M R Albert1, V W Li, J Buhac

  • 1Departments of Dermatology, Harvard Medical School, Boston, MA, USA.

Journal of Cutaneous Medicine and Surgery
|November 21, 1998
PubMed
Summary
This summary is machine-generated.

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Lichen planus can affect nails, causing dystrophy mistaken for fungal infections like onychomycosis. Nail biopsy confirmed lichen planus, highlighting the need for accurate diagnosis.

Area of Science:

  • Dermatology
  • Pathology

Background:

  • Lichen planus rarely presents as a nail-exclusive condition.
  • Nail lichen planus can mimic other nail disorders.

Observation:

  • A case of a 52-year-old woman with 13 months of progressive nail dystrophy is presented.
  • The condition was initially misdiagnosed as onychomycosis and did not respond to oral terbinafine.

Findings:

  • Histopathologic examination of the nail biopsy was crucial for diagnosis.
  • Microscopic findings confirmed the presence of lichen planus.

Implications:

  • Accurate diagnosis of nail dystrophy is essential to differentiate lichen planus from onychomycosis.
  • Histological analysis is vital for confirming onychomycosis and guiding appropriate treatment.

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