What is the most common cause of longitudinal erythronychia?
The most common causes of longitudinal erythronychia involving multiple nails are lichen planus and Darier disease. Less common etiologies are systemic amyloidosis, hemiplegia, graft-versus-host disease, and acantholytic epidermolysis bullosa.
What is longitudinal erythronychia lichen planus?
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.
What is a longitudinal red line on the nail?
Longitudinal erythronychia presents as one or more linear red bands extending from the lunula to the distal free edge of the nail plate, accompanied by onycholysis. Localized longitudinal erythronychia is usually seen in middle-aged individuals and is most commonly found on the thumbnail, followed by the index finger.
What is longitudinal erythronychia on big toe?
Longitudinal erythronychia This type of localized nail discoloration is also often indicative of a benign glomus tumor. Comparatively, polydactylous longitudinal erythronychia indicates an underlying systemic disease such as lichen planus or Darier disease.
What vitamin deficiency causes longitudinal ridges in nails?
Anemia. A condition in which the red blood cells decrease usually due to deficiency of iron, vitamin B12, or folic acid is called anemia. Iron deficiency alone may be responsible for triggering skin problems. Associated effects can include brittle and fragile nails which may develop vertical ridges or lines.
How is lichen planus cured?
Lichen planus has no cure, but different treatments can help relieve your symptoms and speed healing. Possible treatments include: Antihistamine medicine to relieve itching. Steroids on your skin or in your mouth to fight inflammation (You may also take steroids in pill form for severe cases)
What is the best treatment for lichen planus of the 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.
What do B12 deficiency nails look like?
2 Nail changes in vitamin B12 deficiency present as hyperpigmentation of nails like bluish discoloration of nails, blue-black pigmentation with dark longitudinal streaks, and longitudinal and reticulate darkened streaks. The nail pigmentation associated with B12 deficiency is more frequent in patients with dark skin.
What happens if you have a red line on your nail?
Splinter hemorrhages look like thin, red to reddish-brown lines of blood under the nails. They run in the direction of nail growth. They are named splinter hemorrhages because they look like a splinter under the fingernail. The hemorrhages may be caused by tiny clots that damage the small capillaries under the nails.
What vitamin gets rid of nail ridges?
Eat a Well Balanced Diet A common cause of nail ridges could be a vitamin deficiency such as folate and other B vitamins. For more folate, eat foods such as green, leafy vegetables, citrus fruits, beans, lentils, avocado, nuts, and seeds.
Is longitudinal erythronychia painful?
when the band is of red color it is termed as longitudinal erythronychia. Mostly it is asymptomatic and idiopathic but when it presents with pain in affected digit then there is strong suspicion of underlying glomus tumor.
What is longitudinal erythronychia fungus?
Longitudinal erythronychia (LE) is defined as a longitudinal red band of the nail(s) and is classified as localized (involvement of one nail) or polydactylous (involvement of more than one nail). The differential diagnosis is distinct for these classifications.
Why do my toenails have longitudinal ridges?
Common causes of vertical nail ridges, also called longitudinal ridges, include: Normal aging: Many people develop vertical ridges on their nails as they get older. These lines aren’t dangerous. Skin conditions: If you have very dry skin or eczema, you may have vertical lines on your nails.
What does stage 1 nail melanoma look like?
Subungual melanoma presents as brown-black discolorations of the nail bed. It can present as either a streak of pigment or irregular pigmentation. The discoloration can progress to thickening, splitting, or destruction of the nail with pain and inflammation.
How long does longitudinal melanonychia last?
In the majority of iatrogenic melanonychia cases, the pigmentation develops 3-8 weeks after the initiation of treatment and fades away 6-8 weeks following treatment cessation [3]. Melanonychia is also a frequent finding in a series of dermatoses like psoriasis, lichen planus, and Hallopeau acrodermatitis.
Should I be worried if I have melanonychia?
Outlook. The outlook for most benign melanonychia is good and often does not require treatment. However, it usually does not go away by itself. Malignant melanonychia requires the removal of the tumor, which may also include amputation of the finger or toe.
Can low magnesium cause nail ridges?
Magnesium helps prevent ridges in the nails and with protein synthesis and new nail formation. Magnesium deficiency can be corrected by including whole grains such as whole wheat, quinoa, and almonds, cashews, peanuts, black beans in your diet. Zinc is needed for replication of nail cells and improved hair growth.
What does vitamin D deficiency look like in nails?
Hapalonychia (soft nails) has been associated with deficiencies of vitamins A and D among other causes. Longitudinal melanonychia of the nail plate has been reported in vitamin D deficiency.
Can honey cure lichen planus?
Honey was effective in the healing of ulcerative lesions (average recovery in the experimental group was 69% while the average relief of ulcerative lesion in the control group was 50%), but the difference was not significant (P=0.896).
Is lichen planus forever?
Lichen planus is usually not harmful. Most often, it gets better with treatment. The condition often clears up within 18 months, but may come and go for years. If lichen planus is caused by a medicine you are taking, the rash should go away once you stop the medicine.
What is the fastest way to cure lichen planus?
There’s no single treatment that can cure lichen planus completely. However, treatments are available to help manage the symptoms and make living with it easier. For example, steroid creams or ointments are often used to help relieve the itch and control the rash.
What worsens lichen planus?
Lichen planus may be activated by: Hepatitis C infection. Pain relievers and other medicines. An allergic reaction to the metal in dental fillings.
What is the root cause of lichen planus?
Lichen planus (LP) is an inflammatory disorder of the skin and mucous membranes with no known cause.
What is the most common cause of nail clubbing?
Clubbing often occurs in heart and lung diseases that reduce the amount of oxygen in the blood. These may include: Heart defects that are present at birth (congenital) Chronic lung infections that occur in people with bronchiectasis, cystic fibrosis, or lung abscess.
What is the most common cause of melanonychia?
Nail matrix nevus: This benign condition presents as a light brown to black longitudinal band, about 3–5 millimeters (mm) wide. It is the most common cause of melanonychia in children. The presence of melanocyte “nests,” or collections of cells, distinguishes this condition.
What causes longitudinal ridges in fingernails?
Common causes of vertical nail ridges, also called longitudinal ridges, include: Normal aging: Many people develop vertical ridges on their nails as they get older. These lines aren’t dangerous. Skin conditions: If you have very dry skin or eczema, you may have vertical lines on your nails.
What is the most common organism in paronychia?
Acute paronychia can result from seemingly innocuous conditions, such as hangnails, or from activities such as nail biting, finger sucking, manicuring, or artificial nail placement. Causative organisms include the following : Staphylococcus aureus – The most common infecting organism.
What is longitudinal erythronychia?
How is longitudinal erythronychia treated?
Why do patients with longitudinal erythronychia need medical evaluation?
How is erythronychia diagnosed?
Longitudinal erythronychia, also known as red longitudinal streaks in the nails, can be a cause for concern. It’s a condition where red or brown streaks appear along the length of your fingernail or toenail. These streaks can be worrisome, but in most cases, they are harmless. However, it’s important to understand the causes and potential treatments to ensure your nail health.
Causes of Longitudinal Erythronychia
Longitudinal erythronychia can arise from various causes, including:
Trauma: A direct injury to the nail matrix, the area under the cuticle where the nail grows from, can lead to red streaks. This can happen from a forceful impact, a cut, or even a repetitive action that puts stress on the nail.
Nail Infections: Bacterial or fungal infections can also cause red streaks in the nails. If you have a nail infection, you may notice other symptoms like pain, swelling, and a foul odor.
Medications: Some medications, particularly antibiotics and chemotherapy drugs, can cause discoloration of the nails, including red streaks.
Medical Conditions: Certain medical conditions can contribute to longitudinal erythronychia. These include:
Psoriasis: A chronic skin condition that can affect the nails, causing red streaks, pitting, and thickening.
Lichen planus: An inflammatory skin condition that can also affect the nails, leading to red streaks, pitting, and nail splitting.
Systemic lupus erythematosus (SLE): An autoimmune disease that can cause a variety of symptoms, including nail changes.
Nail bed melanoma: This is a rare but serious form of skin cancer that can present as a red or brown streak in the nail.
Nail Polish: Frequent use of dark nail polish can temporarily cause red streaks, especially if it’s applied without proper care.
Diagnosis and Evaluation
If you notice red streaks in your nails, it’s best to consult a dermatologist or healthcare professional for a proper diagnosis. They will likely ask you about your medical history and examine your nails. They may also need to perform tests, such as:
Nail biopsy: A small sample of the nail is taken for microscopic examination to rule out any underlying conditions.
Blood tests: To check for any medical conditions that could be causing the streaks.
Treatment for Longitudinal Erythronychia
Treatment for longitudinal erythronychia depends on the underlying cause. Here are some common treatment options:
If the cause is trauma:
Avoid further injury: Protect the affected nail to prevent further damage and allow it to grow out naturally.
Nail trimming: Trim the nail carefully to avoid irritation.
Nail polish: Avoid dark nail polish and use a clear or light-colored nail polish instead.
If the cause is an infection:
Antibiotics: For bacterial infections, antibiotics can be prescribed.
Antifungal medications: For fungal infections, oral or topical antifungal medications may be used.
If the cause is a medical condition:
Treatment of the underlying condition: Treating the underlying medical condition, such as psoriasis or lichen planus, can help improve the nail symptoms.
Topical corticosteroids: Corticosteroids can be applied to the nail to reduce inflammation.
If the cause is nail polish:
Avoid dark nail polish: Opt for lighter colors or clear nail polish.
Proper application: Apply nail polish carefully to avoid irritating the nail matrix.
Home Remedies for Longitudinal Erythronychia
While it’s essential to seek professional guidance, some home remedies might help manage the condition:
Moisturize: Keep your nails well-hydrated by applying a good quality cuticle oil or moisturizer regularly.
Biotin Supplements: Biotin is a vitamin that’s important for healthy nail growth. Taking biotin supplements can help strengthen your nails and promote healthy growth.
Protect your nails: Avoid harsh chemicals and detergents, as they can damage your nails. Wear gloves when cleaning or doing other chores.
Prevention of Longitudinal Erythronychia
Preventing longitudinal erythronychia can be done by:
Protect your nails: Wear gloves when working with chemicals or doing manual labor.
Maintain good hygiene: Keep your nails clean and trim them regularly to prevent infections.
Avoid biting or picking at your nails: This can damage the nail matrix and increase the risk of infection.
Use gentle nail care products: Avoid using harsh nail polish removers or chemicals.
When to See a Doctor
It’s important to consult a doctor if you notice any of the following:
The red streaks are spreading or changing color.
You experience pain, swelling, or tenderness around the nail.
The nail is separating from the nail bed (onycholysis).
You have a history of skin cancer.
Longitudinal Erythronychia FAQs
Q: Is longitudinal erythronychia contagious?
A: No, longitudinal erythronychia is not contagious.
Q: Can longitudinal erythronychia be cured?
A: Treatment for longitudinal erythronychia depends on the underlying cause. If the cause is an infection or medical condition, treatment can usually clear the streaks. However, if the cause is trauma or a genetic predisposition, the streaks may not fully disappear but may gradually fade as the nail grows out.
Q: How long does it take for longitudinal erythronychia to go away?
A: The time it takes for longitudinal erythronychia to go away varies depending on the cause. If the cause is trauma, it may take several weeks or months for the streaks to disappear. If the cause is an infection or medical condition, treatment can often clear the streaks within a few weeks or months.
Q: Are there any long-term complications from longitudinal erythronychia?
A: Most cases of longitudinal erythronychia are harmless and don’t cause long-term complications. However, if the condition is caused by a serious medical condition, such as nail bed melanoma, it can lead to more serious problems. If you have any concerns, it’s essential to see a doctor.
Q: Can longitudinal erythronychia be prevented?
A: While some causes of longitudinal erythronychia, like genetic predisposition, may not be preventable, you can take steps to reduce your risk of developing this condition. Maintain good nail hygiene, protect your nails from injury, and avoid using harsh chemicals on your nails.
Q: What are some common misconceptions about longitudinal erythronychia?
A: One common misconception is that longitudinal erythronychia is always a sign of a serious medical condition. While it can be a sign of some underlying health issues, it’s often harmless and caused by trauma or other less serious factors. Another misconception is that it’s contagious, which is not true.
By understanding the causes, treatment options, and prevention strategies for longitudinal erythronychia, you can take steps to maintain healthy nails and address any concerns promptly. If you have any doubts or persistent symptoms, don’t hesitate to consult a dermatologist or healthcare professional for proper diagnosis and guidance.
See more here: What Is Longitudinal Erythronychia Lichen Planus? | How To Treat Longitudinal Erythronychia
Diagnosis and Management of Longitudinal Erythronychia: A
Longitudinal erythronychia (LE) is defined as a longitudinal red band extending from the 58 proximal nail fold or lunula to the distal nail plate.1 The differential diagnosis is limited and distinct for 59 localized longitudinal erythronychia (LLE) (involving one nail) and Journal of the American Academy of Dermatology
Longitudinal erythronychia: Suggestions for evaluation
Longitudinal erythronychia is a frequent nail presentation with a limited differential diagnosis. This clinical entity may be divided Journal of the American Academy of Dermatology
Diagnosis and Management of Longitudinal Erythronychia: A
Increased dermatologist awareness of the clinical characteristics and differential diagnosis for LE is necessary given the possibility for malignancy and ScienceDirect
Diagnosis and Management of Longitudinal Erythronychia: A
Longitudinal erythronychia (LE) is defined as a longitudinal red band of the nail (s) and is classified as localized (involvement of one nail) or polydactylous Journal of the American Academy of Dermatology
Erythronychia – UpToDate
Longitudinal erythronychia is a pink to red, longitudinal streak in the nail plate that corresponds to a band of thinned, more transparent nail plate . Longitudinal UpToDate
Longitudinal erythronychia – Wikipedia
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 Wikipedia
Longitudinal erythronychia: Suggestions for evaluation and
Longitudinal erythronychia is a common nail presentation, with a limited differential diagnosis. When limited to one digit (localized longitudinal erythronychia), ScienceDirect
Erythronychia – VisualDx
Longitudinal erythronychia may be specific to one nail or involve multiple nails. When longitudinal erythronychia involves one nail, it may be caused by benign VisualDx
Longitudinal erythronychia: individual or multiple linear red
Treatment of longitudinal erythronychia depends on the etiology. For patients with longitudinal erythronychia-associated discomfort or severe nail splitting, a surgical PubMed
Longitudinal erythronychia: individual or multiple linear red bands
Treatment of longitudinal erythronychia depends on the etiology. For patients with longitudinal erythronychia-associated discomfort or severe nail splitting, a surgical Europe PMC
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