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Nail lichen planus of a single fingernail successfully treated with intralesional triamcinolone acetonide

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Several cutaneous inflammatory diseases can affect the nails, leading to alterations that can be severe and can determine functional and psychosocial consequences. Lichen planus, a benign inflammatory disorder of not well understood etiology, is one of them. Nail manifestations in lichen planus may be isolated or appear in a more generalized involvement of the skin. Currently nail lichen planus is very difficult to treat, and there aren’t therapies fully accepted by the scientific community. Topical therapy does not lead to significant improvements and intralesional steroids are considered as a first line therapy.
I present a case of nail lichen planus involving just one nail of a hand, successfully treated with intralesional triamcinolone acetonide.


nails, acetonide, skin, lichen