Nail Changes in Alopecia Areata: An Update and Review

    January 2018 in “ International Journal of Dermatology ”
    Khatiya Chelidze, Shari R. Lipner
    TLDR Nail problems are common in people with alopecia areata, often leading to cosmetic and functional issues, but more research is needed for treatment guidelines.
    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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