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Case Reports
. 2016 Sep-Oct;91(5 suppl 1):20-22.
doi: 10.1590/abd1806-4841.20164635.

Coexistence of nail lichen planus and lichen planus pigmentosus

Luciana Rodino Lemes  1 , Renata Brandão Villa Verde  1 , Sandra Maria Barbosa Durães  1 , Adolpho de Alencar Araripe Junior  1 , Luciana Pantaleão  1
Affiliations
Case Reports

Coexistence of nail lichen planus and lichen planus pigmentosus

Luciana Rodino Lemes et al. An Bras Dermatol. 2016 Sep-Oct.

Abstract

We describe a fifty-six-year old, Afro-descendent female patient showing dystrophy of her twenty nails and hyperchromic, asymptomatic macule on her face. Histopathological examination of the macule showed vacuolization of the basal layer, melanophages in the superficial dermis and lymphoplasmocytic inflammatory infiltrate. Nail biopsy revealed orthokeratotic hyperkeratosis and lichenoid inflammatory infiltrate. Lichen planus pigmentosus is an uncommon variety of lichen planus. It is characterized by typical hyperpigmented macules on the face and neck. Nail changes might be present in 10% of lichen planus cases, but no associations with lichen planus pigmentosus have been described. We report a case of lichen planus in twenty nails associated with lichen planus pigmentosus on the patient's face.

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Conflict of interest statement

Conflict of Interest: None

Figures

Figure 1
Figure 1
Detail of nail dystrophy of the fingers, with longitudi - nal grooves and melanonychia
Figure 2
Figure 2
Nail dystrophy of the toes, with thickening, longitudinal striations, and melanonychia
Figure 3
Figure 3
Hyperchromic macules in the zygomatic, malar, and temporal regions with mask-like appearance
Figure 4
Figure 4
Nail biopsy showing orthokeratotic hyperkeratosis, proliferation of small vessels, and band-like lymphocytic inflammatory infiltrate
Figure 5
Figure 5
Facial biopsy showing atrophic epidermis with vacuolization of the basal layer, band-like lymphocytic inflammatory infiltrate around the follicle and melanophages in the dermis
See this image and copyright information in PMC

References

    1. Samman PD. The nail lichen planus. Br J Dermatol. 1961;73:288–292. - PubMed
    1. Irla N, Schneiter T, Haneke E, Yawalkar N. Nail Lichen Planus: Successful Treatment with Etanercept. Case Rep Dermatol. 2010;2:173–176. - PMC - PubMed
    1. Pittelkow MR, Daoud MS. Fitzpatrick TB. Fitzpatrick Tratado de Dermatologia. 7 ed. Revinter; 2011. Líquen plano; pp. 244–255.
    1. Berliner JG, McCalmont TH, Price VH, Berger TG. Frontal fibrosing alopecia and lichen planus pigmentosus. J Am Acad Dermatol. 2014;71:e26–e27. - PubMed
    1. Cutrì FT, Ruocco E, Pettinato G, Ciancia G. Lichen planus pigmentosus-like ashy dermatosis. Dermatol Reports. 2011;3:e46. - PMC - PubMed

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