To the Editor.—
Recently, a child was examined who had onychodystrophy of the right index fingernail in association with lichen striatus. I thought your readers would be interested in this rare finding.
Report of a Case
A 4-year-old boy was seen on June 1, 1971, for an asymptomatic rash and dystrophic nail of the right index finger. The eruption had appeared initially, with onset of the nail abnormality occurring two weeks later.Examination showed a hypopigmented, papular, linear eruption on the dorsum of the right hand and index finger, extending to the posterior nail fold. The nail plate had a longitudinal striation extending the length of the nail, with fraying and splitting distally (Fig 1 and 2).Skin biopsy showed an infiltrate consisting of lymphocytes and histiocytes centered around the subpapillary vessels. Additionally, there was intercellular edema of the epidermis and occasional dyskeratotic cells.The eruption and nail dystrophy