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Rough nails with reticulate oral lesions
*Corresponding author: Arunachalam Narayanan, Department of Dermatology and STD, Jawaharlal Institute of Postgraduate Medical Education and Research, Gorimedu, Puducherry, India.narayanan359@gmail.com
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How to cite this article: Narayanan A, Ramar SY. Rough nails with reticulate oral lesions. CosmoDerma 2022;2:18.
A 35-year-old male patient presented with dystrophy of all 10 fingernails. The patient had brittle, thin nails with increased longitudinal ridging [Figure 1a] resulting in a rough, opaque appearance for 6 months. The patient had nontender, reticulate white lesions on his bilateral buccal mucosa [Figure 1b]. Based on the characteristic clinical appearance, we made a diagnosis of trachyonychia secondary to nail lichen planus (LP) with oral lichen planus. Trachyonychia is a disorder of the nail matrix seen in 10% of patients with nail LP. While nail LP is most often isolated in these patients, the most common type of LP associated with nail LP is oral LP.[1] Treatment is often challenging, and treatment options include topical clobetasol propionate, intramatricial triamcinolone, tazarotene gel, systemic retinoids, and cyclosporine.
- (a) Brittle, thin nails with increased longitudinal ridging resulting in a rough, opaque appearance (b) Reticulate, white lesions over the buccal mucosa.
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent.
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Conflict of interest
There are no conflicts of interest.
References
- Trachyonychia: A comprehensive review. Indian J Dermatol Venereol Leprol. 2011;77:640-5.
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