Lichen striatus is a common childhood eruption, but only rare reports
link cutaneous manifestions and onychodystrophy. We report a case of l
ichen striatus and onychodystrophy in a 12-year-old girl, only the eig
hth such patient in the dermatologic literature. Nail changes may prec
ede the rash of lichen striatus and should be considered in the differ
ential diagnosis of isolated nail dystrophy in children.