Olfleck’s phenomenon


Olfleck’s phenomenon is seen in


[A] Lichen planus
[B] Psoriasis
[C] Actinic keratosis
[D] Darier’s disease



MECHANISM of ‘Olfleck’s phenomenon’


In psoriatic nail involvement, a brownish discoloration of the nails occurs due to subungal hyperkeratoses. This is caused by a collection of parakeratotic columns in the nail bed


  • Pseudo-Koebner phenomenon
    • This phenomenon occurs when infectious agents, like viruses, cause monomorphic lesions to spread across previously unaffected skin.
    • It can be seen in molluscum contagiosum and verrucae, which are infective warts caused by human papillomavirus
  • What is Koebner phenomenon?
    • An injury, wound or burn can cause new lesions that resemble the primary skin disease.
    • Most often with psoriasis.
    • Sometimes, it can happen to people with warts, vitiligo and lichen planus.
  • Reverse Koebner phenomenon
    This phenomenon occurs when existing skin lesions disappear after trauma.

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