Nail Changes in Alopecia Areata: An Update and Review

    Khatiya Chelidze, Shari R. Lipner
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    Studysummary This review explores nail changes associated with alopecia areata, noting their prevalence and impact on appearance and function, but reports no new clinical findings; the authors call for larger controlled trials.
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    The review discussed nail changes in alopecia areata (AA), highlighting their prevalence, clinical features, and management. Nail changes were common in AA, affecting about 30% of patients, with pitting and trachyonychia being the most frequent manifestations, occurring in 20% and 8% of cases, respectively. Other findings included red spotted lunulae, onycholysis, and punctate leukonychia. The review emphasized the need for larger controlled trials to better understand the clinical manifestations and guide treatment options for AA-associated nail changes.
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