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June 1978

Lichen Striatus With Nail Dystrophy

Arch Dermatol. 1978;114(6):964-965. doi:10.1001/archderm.1978.01640180094036

To the Editor.—  Lichen striatus is not a common clinical entity. When it is found in conjunction with nail involvement, it is even rarer. We would like to report such a case, which was recently seen in our clinic.

Report of a Case.—  A 2-year-old boy was seen in our clinic in March 1977, because of the appearance of an asymptomatic, hypopigmented, coalescing, linear, papular eruption on the left forearm that had been present for about six months. On closer inspection, the papules were noted to extend to the posterior nail fold of the left thumb. The child's mother had noted gradual changes in the appearance of the left thumbnail during the previous six months, and when we examined the child, the entire nail plate revealed longitudinal splitting and shredding (Figure). A potassium hydroxide preparation of nail scrapings was negative. A skin biopsy specimen from one of the papules showed minimal

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