What does lichen planus look like on the toenails?

Nail lichen planus is manifested with nail plate thinning, longitudinal ridging, distal nail plate splitting, onycholysis, onychorrhexis, subungual hyperkeratosis, lunular erythematous patches, and pterygium.

Does lichen planus affect toenails?

Oral lesions occur in approximately one-third of patients with lichen planus and nail involvement occurs in about 10 percent of reported cases. The majority of nail changes result from damage to the nail matrix, usually involving only one or two fingernails or toenails, but occasionally all nails are affected.

Can you get lichen planus on your nails?

Abstract. Lichen planus is a benign inflammatory disorder of unknown etiology that may affect the skin, mucosae, scalp, and nails. When the nails are affected, it may lead to permanent destruction with severe functional and psychosocial consequences.

How do you get rid of lichen planus on nails?

Corticosteroid creams and ointments

They are often referred to as topical corticosteroids. Topical corticosteroids help treat the swelling (inflammation) and redness caused by lichen planus. Strong topical corticosteroids, such as clobetasol propionate, are also effective in reducing any itchiness you may have.

Can lichen planus of the nails be cured?

Results Treatment with systemic corticosteroids was effective in curing typical nail lichen planus. Two children experienced a recurrence of the disease during the follow-up. Recurrences were always responsive to therapy. The 2 children with 20-nail dystrophy improved without any therapy.

Lichen planus - causes, symptoms, diagnosis, treatment, pathology

What causes nail lichen planus?

Lichen planus occurs when your immune system attacks cells of the skin or mucous membranes. It's not clear why this abnormal immune response happens. The condition isn't contagious.

Is lichen planus a fungus?

General Discussion. Lichen planus (LP) is a rare, chronic, inflammatory autoimmune skin and mucous membrane disease.

Which ointment is best for lichen planus?

The first choice for treatment of lichen planus is usually a prescription corticosteroid cream or ointment. If that doesn't help and your condition is severe or widespread, your doctor might suggest a corticosteroid pill or injection.

Does Covid 19 cause lichen planus?

Despite viruses being reported as a triggering factor in oral lichen planus, very few cases of oral lichen planus after COVID-19 infection were noticed. The immunological and psychological changes induced by COVID-19 infection may explain the tendency to find lichen planus lesions in COVID-19 patients.

What causes lichen planus to flare up?

It's possible that, in some people, oral lichen planus may be triggered by certain medications, mouth injury, infection or allergy-causing agents such as dental materials. Stress may be involved in symptoms becoming worse or recurring.

Can lichen planus cause nail pitting?

Nail pitting may also be present in alopecia areata and lichen planus. However, the most characteristic features in lichen planus are longitudinal grooves and fissures, and dorsal pterygium, and nail pitting may not be present.

What medications can trigger lichen planus?

Such triggers are often the administration of systemic drugs such as nonsteroidal anti-inflammatory drugs (NSAIDs), sulfonylureas, antimalarials, beta-blockers, and some angiotensin-converting enzyme (ACE) inhibitors.

Does lichen planus go away?

In most cases, lichen planus will go away within 2 years. If you have symptoms, such as severe itching or sores in your mouth or genital area, treatment can help. If you have lichen planus on your scalp, treatment is important to prevent permanent hair loss.

What does lichen planus look like on feet?

Individual lesions of lichen planus on the skin appear as small (1–5 mm), flat-topped, red-to-purple bumps. As lichen planus progresses, the surfaces of these bumps can become dry and scaly and can develop wispy, gray-to-white streaks (Wickham's striae).

What does psoriasis look like on toenails?

Your nails may turn white, yellow, or brown. They may also have small red or white spots underneath. Surface appearance. You may get ridges or grooves in your nails, or pitting (small pinprick holes) on the nail surface.

Can lichen sclerosus affect the nails?

Nail involvement with LS is rare. In contrast, lichen planus (LP) commonly affects extragenital skin. Mucosal lesions occur in 50% of cases, affecting the mouth and genitalia. Nail disease in LP is common, and, if severe, can lead to destruction of the nail bed.

Can vitamin D deficiency causes lichen planus?

The VDR receptor protects against invasion of microbes into the underlying connective tissue, and in the case of the oral lichen planus, epithelial destruction means apoptosis or planned cell death (15). Vitamin D deficiency results in impaired T cell proliferation and may therefore lead to the development of OLP.

What vitamins help lichen planus?

Lichen planus disease is a chronic inflammatory lesion without a known etiology. Recent studies have indicated the role of vitamin D on immune system and proposed its anti-inflammatory effects.

Is lichen planus an immune deficiency?

Lichen planus (LP) is thought to be an autoimmune disorder in patients with a genetic predisposition but may be caused by drugs or be associated with disorders such as hepatitis C. LP is characterized by recurrent, pruritic papules that are polygonal, flat-topped, and violaceous and can coalesce into plaques.

What is the fastest way to cure lichen planus?

Lichen planus has no cure, but different treatments can help relieve your symptoms and speed healing. Possible treatments include: Antihistamine medicine to relieve itching. Steroids on your skin or in your mouth to fight inflammation (You may also take steroids in pill form for severe cases)

Is lichen planus caused by stress?

Factors such as stress and psychological problems, especially depression and anxiety, have been mentioned as etiologic factors in lichen planus.

Do antibiotics work on lichen planus?

Oral metronidazole is an imidazole ring-based antibiotic that has been shown to be an effective therapy for some patients presenting with lichen planus.

What diseases are linked to lichen planus?

Lichen planus is a cell-mediated immune response of unknown origin. It may be found with other diseases of altered immunity; these conditions include ulcerative colitis, alopecia areata, vitiligo, dermatomyositis, morphea, lichen sclerosis, and myasthenia gravis.

Is lichen planus cancerous?

Abstract. Background: Oral lichen planus (OLP) and oral lichenoid lesions (OLL) are considered potentially malignant disorders with a cancer incidence of around 1% of cases, although this estimation is controversial.

Is lichen planus bacterial?

Oral lichen planus (OLP) is a chronic T cell-mediated inflammatory disease of unknown etiology. We previously proposed that the intracellular bacteria detected in OLP lesions are important triggering factors for T cell infiltration.