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Detailed Gallery: The Impact of Lichen Planus on Nails

Lichen planus (LP) is a chronic inflammatory disease that can manifest in various parts of the body, but its nail involvement, known as nail lichen planus, represents one of the most destructive and difficult forms to treat. The real concern lies in the potential permanent damage to the nail matrix, which is essential for the healthy growth of the nail plate.

The images presented illustrate the spectrum of damage caused by LP. We observe everything from early involvement of the matrix (where new cells are generated), causing irregularities and grooves, to advanced stages resulting in the total loss of the nail (anonychia) or severe nail dystrophies. The presence of chronic inflammation in this area can lead to irreversible scarring.

Understanding the Clinical Signs of Nail Lichen Planus

When lichen planus affects the nails, dermatologists look for distinctive characteristics. These include the appearance of the «fine band» or dorsal pterygium, the formation of longitudinal ridges (striations), and, in severe cases, longitudinal splitting and complete destruction of the plate, as seen in the gallery. It is crucial to obtain an early diagnosis, as timely treatment can mitigate the progression of damage to the nail matrix.

Exploring this visual collection helps patients and professionals understand the potential severity of this condition. If you or someone you know is experiencing progressive changes in their nails, it is essential to consult with a specialist for a thorough evaluation and to discuss available management options.