甲癣是一种罕见的发现,其特征是指甲具有均匀且同时存在的脆性,过度的纵向生长,脊线,和失去光泽。通常,二十甲营养不良(TND)/甲癣是一种特发性疾病,但有时皮肤病如斑秃,扁平苔藓,和牛皮癣被发现与它有关。我们报告了一名年轻男性的三甲/TND病例,伴有肥厚型皮肤扁平苔藓,网状口腔扁平苔藓,和指甲扁平苔藓,在皮肤镜检查和组织病理学的帮助下被诊断出来。许多皮肤疾病,系统性疾病,感染会导致指甲营养不良;因此,正确的诊断对于治疗根本原因至关重要。早期干预改善了患者的预后,减轻了他们的心理压力和美容问题。
Trachyonychia is an uncommon finding characterized by the nails having a uniform and simultaneous presence of fragility, excessive longitudinal growth, ridging, and loss of luster. Usually, twenty-nail dystrophy (TND)/
trachyonychia is an idiopathic condition, but sometimes dermatoses such as alopecia areata, lichen planus, and psoriasis are found to be associated with it. We report a
case of
trachyonychia/TND in a young male with the concomitant presence of cutaneous lichen planus of hypertrophic type, reticular oral lichen planus, and nail lichen planus, which was diagnosed with the aid of dermoscopy and histopathology. Many cutaneous disorders, systemic illnesses, and infections can cause nail dystrophy; therefore, a proper diagnosis is crucial to treat the underlying cause. Early intervention improves patients\' prognosis and alleviates their psychological strain and cosmetic concerns.