title: Nail lichen planus in a patient with alopecia totalis.
abstract: A 67-year-old man with a three-year history of non-scarring alopecia that progressed to alopecia totalis despite intralesional glucocorticoid injections is presented. He developed 20-nail dystrophy that was recalcitrant to antifungal and anti-inflammatory treatments. Biopsy of the nail matrix showed histopathologic features of lichen planus. Alopecia totalis and isolated lichen planus of the nails are uncommon subtypes of common dermatologic disorders. Rarely reported concurrently, we provide a review of the literature of their association, which is most likely attributed to their autoimmune pathogeneses.
authors.affiliation: New York University School of Medicine.
authors.forename: Brian A
authors.initials: BA
authors.lastname: Ginsberg
authors.forename: John Montgomery
authors.initials: JM
authors.lastname: Yost
authors.forename: Jesse
authors.initials: J
authors.lastname: Lewin
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Hale
authors.forename: Shane A
authors.initials: SA
authors.lastname: Meehan
authors.forename: John A
authors.initials: JA
authors.lastname: Carucci
authors.forename: Sarika
authors.initials: S
authors.lastname: Ramachandran
mesh_terms: D000368:Aged; D000505:Alopecia / Q000150:complications*; D006801:Humans; D008010:Lichen Planus / Q000150:complications* / Q000473:pathology; D008297:Male; D009260:Nail Diseases / Q000150:complications* / Q000473:pathology