Spotted lunulae explained

Spotted lunulae is a distinctive change that occurs with alopecia areata.^[1]

Spotted lunulae appears as tiny, round, crimson patches that are not eliminated by vitropressure. Its boundaries are evenly spaced and clearly defined across the lunula.

Spotted lunulae is a symptom of nail matrix inflammation linked to several illnesses, such as nail psoriasis and alopecia areata.

Signs and symptoms

Spotted lunulae appears as tiny, round, reddish patches that are resistant to vitropressure. Its boundaries are evenly spaced out over the lunula and clearly defined.^[2]

Causes

Spotted lunulae is an indication of inflammation in the nail matrix linked to several illnesses, including as alopecia areata and nail psoriasis.^{[2] [3]}

Treatment

Treatment of spotted lunulae depends on the underlying disorder.^[2]

Epidemiology

In one study spotted lunulae was reported to affect 6 out of 126 pediatric patients with alopecia areata.^[4] In another study the prevalence of spotted lunulae was 13%.^[5]

History

Spotted lunulae was first reported by Shelley in 1980.^[6]

See also

• Lunulae

Notes and References

1. James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. .
2. Starace . Michela . Cedirian . Stephano . Gurioli . Carlotta . Chessa . Marco Adriano . Piraccini . Bianca Maria . Neri . Iria . Spotted Lunula in Alopecia Areata: Clinical and Onychoscopic Features of an Unusual Sign . Dermatology Practical & Conceptual . Mattioli1885 . 2024-01-31 . 14 . 1 . 2160-9381 . 10.5826/dpc.1401a2 . e2024002. 38364419 . 10868956 .
3. Baran . Robert . Comment reconnaître et traiter un psoriasis unguéal . La Presse Médicale . Elsevier BV . 43 . 11 . 2014 . 0755-4982 . 10.1016/j.lpm.2014.06.011 . 1251–1259 . 25443636 . fr.
4. Tosti . Antonella . Morelli . Rossella . Bardazzi . Federico . Peluso . Anna Maria . Prevalence of Nail Abnormalities in Children With Alopecia Areata . Pediatric Dermatology . Wiley . 11 . 2 . 1994 . 0736-8046 . 10.1111/j.1525-1470.1994.tb00562.x . 112–115. 8041648 .
5. Roest . Y . Middendorp . H . Evers . A . Kerkhof . P . Pasch . M . Nail Involvement in Alopecia Areata: A Questionnaire-based Survey on Clinical Signs, Impact on Quality of Life and Review of the Literature . Acta Dermato Venereologica . Medical Journals Sweden AB . 98 . 2 . 2018 . 0001-5555 . 10.2340/00015555-2810 . 212–217. 2066/190317 . free .
6. Shelley . Walter B. . The spotted lunula . Journal of the American Academy of Dermatology . Elsevier BV . 2 . 5 . 1980 . 0190-9622 . 10.1016/s0190-9622(80)80360-4 . 385–387. 7381066 .