Carpal Tunnel Corticosteroid Injection Treatment of Nail Lichen Planus

Main Article Content

Miranda Lee-Foltz
Payal Shah
Denise Aaron

Keywords

Nail lichen planus, corticosteroid, treatments, inflammatory nail disorders

Abstract

Treatment for nail lichen planus (NLP) typically involves the use of intralesional or systemic corticosteroids. However, both modalities have distinct considerations. Systemic options are typically reserved for severe cases due to potential adverse effects while intralesional injections are limited due to patient discomfort. Here we present a case in which a corticosteroid injection for carpal tunnel syndrome led to incidental bilateral improvement in a patient’s nail lichen planus. Carpal tunnel injection may be an alternative to more traditional treatments and is a potential area for further research.

References

1. Iorizzo M, Tosti A, Starace M, et al. Isolated nail lichen planus: An expert consensus on treatment of the classical form. J Am Acad Dermatol. 2020;83(6). doi:10.1016/j.jaad.2020.02.056

2. Reddy S, Ananthakrishnan S, Garg A. A prospective observational study evaluating hypothalamic-pituitary-adrenal axis alteration and efficacy of intramuscular triamcinolone acetonide for steroid-responsive dermatologic disease. J Am Acad Dermatol. 2013;69(2). doi:10.1016/j.jaad.2013.02.005

3. Clark A, Jellinek NJ. Intralesional injection for inflammatory nail diseases. Dermatologic Surgery. 2016;42(2). doi:10.1097/DSS.0000000000000621

4. Piraccini BM, Saccani E, Starace M, Balestri R, Tosti A. Nail lichen planus: Response to treatment and long term follow-up. European Journal of Dermatology. 2010;20(4). doi:10.1684/ejd.2010.0952

5. Jiménez del Barrio S, Bueno Gracia E, Hidalgo García C, et al. Conservative treatment in patients with mild to moderate carpal tunnel syndrome: A systematic review. Neurologia. 2018;33(9). doi:10.1016/j.nrl.2016.05.018