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It can be a manifestation of lichen planus, psoriasis, alopecia areata, immunoglobulin A deficiency, atopic dermatitis, and ichthyosis vulgaris. [ 7 ] "The longitudinal striations can occur as a normal part of the aging process", [ 2 ] and not until the nails start to thin and get a sandpaper look is the condition called trachonychia.
Lichen planus may be categorized as affecting mucosal or cutaneous surfaces.. Cutaneous forms are those affecting the skin, scalp, and nails. [10] [11] [12]Mucosal forms are those affecting the lining of the gastrointestinal tract (mouth, pharynx, esophagus, stomach, anus), larynx, and other mucosal surfaces including the genitals, peritoneum, ears, nose, bladder and conjunctiva of the eyes.
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Longitudinal erythronychia presents with longitudinal red bands in the nail plate that commence in the matrix and extend to the point of separation of the nail plate and nailbed, and may occur on multiple nails with inflammatory conditions such as lichen planus or Darier's disease.
There are several causes of Beau's lines. It is believed that there is a temporary cessation of cell division in the nail matrix.This may be caused by an infection or problem in the nail fold, where the nail begins to form, or it may be caused by an injury to that area.
Causes Lichen planus Pterygium unguis (or dorsal pterygium [ 1 ] : 660 ) forms as a result of scarring between the proximal nailfold and matrix, with the classic example being lichen planus , though it has been reported to occur as a result of sarcoidosis and Hansen's disease .
A new nail plate will form once the cause of the disease is removed. Onychomycosis, also known as tinea unguium, is a contagious infection of the nail caused by the same fungal organisms which cause ringworm of the skin (Trichophyton rubrum or T. mentagrophytes, rarely other trichophyton species or Epidermophyton floccosum [1]).
Melanonychia is a black or brown pigmentation of a nail, and may be present as a normal finding on many digits in Afro-Caribbeans, as a result of trauma, systemic disease, or medications, or as a postinflammatory event from such localized events as lichen planus or fixed drug eruption.