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Case Reports
. 2024 Feb 14:46:52-56.
doi: 10.1016/j.jdcr.2024.01.031. eCollection 2024 Apr.

Isolated single or pauci-nail lichen planus, three cases

Roy Jiang  1 , Sa Rang Kim  1 , Sean R Christensen  1 , Amanda Zubek  1
Affiliations
Case Reports

Isolated single or pauci-nail lichen planus, three cases

Roy Jiang et al. JAAD Case Rep. .
No abstract available

Keywords: lichen planus; nail biopsy; nail lichen planus; onychorrhexis.

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Conflict of interest statement

None disclosed.

Figures

Fig 1
Fig 1
Progressive nail dystrophy of right third (R3) fingernail in case 1. A, Examination findings at initial presentation. B, Presentation after 1 year demonstrating onycholysis, onychorrhexis, and nail hypoplasia despite intramatrical steroid therapy.
Fig 2
Fig 2
Presentation of right first (R1) toenail nail dystrophy in case 2. A, Examination findings 6 months prior to matrix biopsy. B, Presentation 2 years after matrix biopsy. C, Histopathology of the nail matrix obtained by biopsy of the patient is shown (40×, H&E) with the presence of a band of lymphocytes near the dermal-epidermal junction. H&E, Hematoxylin-eosin stain.
Fig 3
Fig 3
Initial case 3 presentation. A, Exam findings of right third (R3) fingernail dystrophy and B, ledt third (L3) fingernail dystrophy. Note the simultaneous presence of a herpetic ulcer on the lateral edge of the R3 finger on initial presentation. C, Histopathology of the nail eponychium obtained by biopsy of the patient is shown (40×, H&E) with the presence of compact hyperorthohyperkeratosis, focal hypergranulosis, and a band of lymphocytes near the dermal-epidermal junction. H&E, Hematoxylin-eosin stain.
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