1. Isolated nail lichen planus: An expert consensus on treatment of the classical form
- Author
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Dimitris Rigopoulos, Adam I. Rubin, Shari R. Lipner, Antonella Tosti, Sophie Goettmann, Matilde Iorizzo, Bianca Maria Piraccini, Robert Baran, Chander Grover, Nilton Di Chiacchio, Eckart Haneke, Martin Zaiac, C. Ralph Daniel, Phoebe Rich, Bertrand Richert, Michela Starace, and Iorizzo M, Tosti A, Starace M, Baran R, Daniel CR 3rd, Di Chiacchio N, Goettmann S, Grover C, Haneke E, Lipner SR, Rich P, Richert B, Rigopoulos D, Rubin AI, Zaiac M, Piraccini BM.
- Subjects
Nail lichen planus ,medicine.medical_specialty ,Triamcinolone acetonide ,retinoids ,Topical treatment ,Dermatology ,triamcinolone acetonide ,Acitretin ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,stomatognathic system ,Medicine ,guidelines ,nail fissuring ,skin and connective tissue diseases ,Dermatologie ,nail dystrophy ,lichen planus ,treatment ,integumentary system ,business.industry ,alitretinoin ,intralesional steroid injections ,Expert consensus ,nail lichen planus ,nail ridging ,stomatognathic diseases ,medicine.anatomical_structure ,consensus ,030220 oncology & carcinogenesis ,Scalp ,Etiology ,acitretin ,business ,management ,Inflammatory disorder ,medicine.drug - Abstract
Lichen planus is a benign inflammatory disorder of unknown etiology that may affect the skin, mucosae, scalp, and nails. When the nails are affected, it may lead to permanent destruction with severe functional and psychosocial consequences. Therefore, prompt diagnosis and early treatment are essential, even in mild cases. There are currently no guidelines for the management of nail lichen planus and the published literature on treatment is limited. The aim of this review is to provide practical management recommendations for the classical form of nail lichen planus, especially when restricted to the nails. Topical treatment has poor short-term efficacy and may cause long-term side effects. Instead, intralesional and intramuscular triamcinolone acetonide should be considered first-line therapies. Oral retinoids are second-line choices, and immunosuppressive agents may also be considered., SCOPUS: re.j, info:eu-repo/semantics/published
- Published
- 2020
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