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Article
October 1940

LICHEN PLANUS OF THE NAIL BED: REPORT OF A CASE

Author Affiliations

NEW YORK; MAHANOY CITY, PA.

From the New York Hospital and the Department of Medicine (Dermatology), Cornell University Medical College.

Arch Derm Syphilol. 1940;42(4):607-609. doi:10.1001/archderm.1940.01490160067009
Abstract

Pathologic changes in the nails of patients suffering from lichen planus have been reported by many observers. Most of the observations would seem not to be peculiar to lichen planus but to be indistinguishable from dystrophies of the nails secondary to some other diseases of the skin. Such abnormal changes in the nails as longitudinal and transverse striations, roughness, subungual hyperkeratosis, thickening, thinning, pitting, brittleness or fragility, yellow or yellowish gray color, opacity and shedding have been described as due to lichen planus. Koilonychia has been reported following lichen planus. Heller1 stated the belief that thickening, increased fragility, yellowishness and opaqueness are characteristic nail changes in lichen planus. Jadassohn2 did not consider that changes of such character are pathognomonic of lichen planus. It is our opinion that such lesions when due to lichen planus are probably of indirect causation. In many instances the changes in the nails of

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