Nail Lichen Planus in a Patient with Alopecia Totalis
January 2015
in “
Dermatology online journal
”
TLDR A man with total hair loss also developed a rare nail condition, likely due to autoimmune issues.
A 67-year-old man with a three-year history of non-scarring alopecia that progressed to alopecia totalis, despite intralesional glucocorticoid injections, developed 20-nail dystrophy resistant to antifungal and anti-inflammatory treatments. A biopsy revealed lichen planus in the nail matrix. Both alopecia totalis and isolated lichen planus of the nails are uncommon and rarely reported together, likely due to their autoimmune origins. The document reviewed literature on their association.
