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Nail psoriasis – a treatment challenge
Author(s) -
Radtke Marc A.,
Beikert Florian C.,
Augustin Matthias
Publication year - 2013
Publication title -
jddg: journal der deutschen dermatologischen gesellschaft
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 60
eISSN - 1610-0387
pISSN - 1610-0379
DOI - 10.1111/ddg.12054
Subject(s) - psoriasis , medicine , dermatology , psychosocial , nail (fastener) , psoriatic arthritis , differential diagnosis , nail disease , medical diagnosis , quality of life (healthcare) , pathology , psychiatry , materials science , nursing , metallurgy
Summary Nail involvement in psoriasis is common and mostly occurs with other lesions but can also occur alone. Besides psychosocial and aesthetic impairments, patients often complain about functional impairment. Nail psoriasis is a predictor for more severe psoriasis, decreased quality of life, and a higher risk for the development of psoriatic arthritis. Onychomycosis and other differential diagnoses should be excluded prior to treatment. This article presents an overview of different clinical appearances of nail psoriasis, the essential diagnostic assessment before treatment, important differential diagnoses, and published data on treatment options for nail psoriasis.