How do you treat lichen planus on nails?

How do you treat lichen planus on nails?

First-line treatment of nail lichen planus is corticosteroids (topical, intralesional, or rarely, systemic), but persistence or relapse of disease may justify corticosteroid-sparing immunosuppressants.

Can lichen planus affect your nails?

Lichen planus is a benign, chronic, mucocutaneous disorder that affects the skin, mucosae, and nails. The occurrence of nail lichen planus has been reported to be about 10% to 15%. 1,2 Nail lichen planus is more common in adults than in children, and it mostly affects the fingernails rather than the toenails.

What causes lichen planus in fingernails?

Different clinical appearances such as Yellow nail syndrome and Lichen planus or lichenoid reactions can originate from close or identical etiologies. They may result from dental restorative materials or metal allergy.

Can lichen planus cause nail pitting?

Signs of Nail Lichen Planus: Pitting, Nail thinning, The nail becomes fragile and there may be a loss of nails.

What can trigger lichen planus?

Triggers for lichen planus may include:

• Certain medications. Antimicrobials. Antihistamines (H2-blockers) Antihypertensives/antiarrhythmics such as ACE inhibitors and beta-blockers. Antimalarial drugs.
• Metal dental fillings (oral lichen planus)
• Stress.
• Infection, such as hepatitis C virus infection.

What autoimmune diseases cause lichen planus?

Analysis of data obtained from a Taiwan insurance database containing approximately 12,500 lichen planus patients revealed a significant association between lichen planus and systemic lupus erythematosus, Sjögren’s syndrome (significant in females only), dermatomyositis, vitiligo, and alopecia areata.

How do you prevent lichen planus from spreading?

Light therapy (phototherapy) may help clear up lichen planus affecting the skin. The most common phototherapy for lichen planus uses ultraviolet B (UVB) light, which penetrates only the upper layer of skin (epidermis). Light therapy usually requires two to three treatments a week for several weeks.

Is there a blood test for lichen planus?

Your healthcare provider or dentist may diagnose lichen planus based on the changes on your skin or in your mouth. To make sure of the diagnosis, you may need these tests: Blood test. This can rule out other causes of your symptoms.

What foods trigger lichen planus?

They’ll likely hurt the most when you eat or drink foods that are spicy, salty, acidic (orange juice, tomatoes), or alcoholic. Crispy treats and drinks with caffeine can also cause problems. Your doctor can diagnose oral lichen planus by taking a small piece of skin from inside your mouth.

What makes lichen planus flare up?

Lichen planus can be triggered by: Hepatitis C infection. Flu vaccine. Certain pigments, chemicals and metals.