Isolated nail lichen planus: An expert consensus on treatment of the classical form.
J Am Acad Dermatol
; 83(6): 1717-1723, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-32112995
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.
Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Triancinolona Acetonida
/
Guias de Prática Clínica como Assunto
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Consenso
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Líquen Plano
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Doenças da Unha
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article