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Lichen striatus is an uncommon, self-limited dermatosis, most often presenting in children 5 to 10 years of age. Cases in adults have rarely been reported. In most reports, females are affected 2 to 3 times more frequently than males. However, in a recent publication detailing 12 European cases, males were affected 3 times more frequently than females.¹ Among these 12 patients, 2 had nail involvement, which brings the total number of reported cases of lichen striatus of the nails to 20 worldwide.^1-5 Cutaneous lesions of lichen striatus are small, flesh-colored papules that develop in a linear distribution over a period of weeks, usually on the extremities. Most cases involve only the skin. However, nail involvement with the typical skin changes, as well as nail involvement alone, has been reported.² Typically, lesions resolve spontaneously in 3 to 12 months, although the presence of nail involvement can signal a more protracted course.^{1, 4}

Report of a Case

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