[Translated article] Nail Psoriasis
Nail involvement in psoriasis is common. It is seen in up to 80% of patients with psoriatic lesions and may be the only manifestation in 6% of cases. Nail psoriasis is correlated with more severe disease, characterized by earlier onset and a higher risk of psoriatic arthritis. Accordingly, it can al...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | Actas Dermo-Sifiliográficas |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0001731022002770 |
| _version_ | 1818205613156466688 |
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| author | E. Canal-García X. Bosch-Amate I. Belinchón L. Puig |
| author_facet | E. Canal-García X. Bosch-Amate I. Belinchón L. Puig |
| author_sort | E. Canal-García |
| collection | DOAJ |
| description | Nail involvement in psoriasis is common. It is seen in up to 80% of patients with psoriatic lesions and may be the only manifestation in 6% of cases. Nail psoriasis is correlated with more severe disease, characterized by earlier onset and a higher risk of psoriatic arthritis. Accordingly, it can also result in significant functional impairment and reduced quality of life. Psoriasis involving the nail matrix causes pitting, leukonychia, red lunula and nail dystrophy, while nail bed involvement causes splinter hemorrhages, onycholysis, oil spots (salmon patches), and subungual hyperkeratosis. Common evaluation tools are the Nail Psoriasis Severity Index (NAPSI), the modified NAPSI, and the f-PGA (Physician's Global Assessment of Fingernail Psoriasis). Treatment options include topical therapy, intralesional injections, and systemic and biologic agents. Treatment should therefore be assessed on an individualized basis according to the number of nails involved, the part of the nail or nails affected, and the presence of concomitant nail and/or joint involvement. Resumen: La psoriasis ungueal puede afectar al 80% de los pacientes con psoriasis cutánea y puede ser la única manifestación en el 6% del total. Además, se correlaciona con una enfermedad psoriásica más grave, con un inicio más precoz y con una mayor probabilidad de desarrollar artritis psoriásica. Todo ello hace que se asocie a un importante deterioro funcional y a una disminución de la calidad de vida. La psoriasis ungueal que afecta la matriz puede causar piqueteado/pitting, leuconiquia, manchas rojas en la lúnula o distrofia de la lámina, mientras que la afectación del lecho causa hemorragias en astilla, onicólisis, manchas de aceite o salmón e hiperqueratosis subungueal. Los métodos de evaluación comunes son las escalas NAPSI, NAPSI modificada o f-PGA. Actualmente, disponemos de tratamientos tópicos, intralesionales, sistémicos y biológicos, por lo que deberá individualizarse según el número de uñas implicadas, la zona ungueal afectada y la presencia de afectación cutánea y/o articular. |
| first_indexed | 2024-12-12T03:59:55Z |
| format | Article |
| id | doaj.art-06a4fad6f30e4698b784ee153cba0fbd |
| institution | Directory Open Access Journal |
| issn | 0001-7310 |
| language | English |
| last_indexed | 2024-12-12T03:59:55Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Actas Dermo-Sifiliográficas |
| spelling | doaj.art-06a4fad6f30e4698b784ee153cba0fbd2022-12-22T00:39:06ZengElsevierActas Dermo-Sifiliográficas0001-73102022-05-011135T481T490[Translated article] Nail PsoriasisE. Canal-García0X. Bosch-Amate1I. Belinchón2L. Puig3Departamento de Dermatología, Hospital Universitari Arnau de Vilanova, Lleida, SpainDepartamento de Dermatología, Hospital Clínic de Barcelona, Barcelona, SpainDepartamento de Dermatología, Hospital General Universitario de Alicante-ISABIAL-UMH, Alicante, Spain; Corresponding author.Departamento de Dermatología, Hospital de la Santa Creu i Sant Pau, Barcelona, SpainNail involvement in psoriasis is common. It is seen in up to 80% of patients with psoriatic lesions and may be the only manifestation in 6% of cases. Nail psoriasis is correlated with more severe disease, characterized by earlier onset and a higher risk of psoriatic arthritis. Accordingly, it can also result in significant functional impairment and reduced quality of life. Psoriasis involving the nail matrix causes pitting, leukonychia, red lunula and nail dystrophy, while nail bed involvement causes splinter hemorrhages, onycholysis, oil spots (salmon patches), and subungual hyperkeratosis. Common evaluation tools are the Nail Psoriasis Severity Index (NAPSI), the modified NAPSI, and the f-PGA (Physician's Global Assessment of Fingernail Psoriasis). Treatment options include topical therapy, intralesional injections, and systemic and biologic agents. Treatment should therefore be assessed on an individualized basis according to the number of nails involved, the part of the nail or nails affected, and the presence of concomitant nail and/or joint involvement. Resumen: La psoriasis ungueal puede afectar al 80% de los pacientes con psoriasis cutánea y puede ser la única manifestación en el 6% del total. Además, se correlaciona con una enfermedad psoriásica más grave, con un inicio más precoz y con una mayor probabilidad de desarrollar artritis psoriásica. Todo ello hace que se asocie a un importante deterioro funcional y a una disminución de la calidad de vida. La psoriasis ungueal que afecta la matriz puede causar piqueteado/pitting, leuconiquia, manchas rojas en la lúnula o distrofia de la lámina, mientras que la afectación del lecho causa hemorragias en astilla, onicólisis, manchas de aceite o salmón e hiperqueratosis subungueal. Los métodos de evaluación comunes son las escalas NAPSI, NAPSI modificada o f-PGA. Actualmente, disponemos de tratamientos tópicos, intralesionales, sistémicos y biológicos, por lo que deberá individualizarse según el número de uñas implicadas, la zona ungueal afectada y la presencia de afectación cutánea y/o articular.http://www.sciencedirect.com/science/article/pii/S0001731022002770PsoriasisUñasEnfermedades de las uñasArtritis psoriásica |
| spellingShingle | E. Canal-García X. Bosch-Amate I. Belinchón L. Puig [Translated article] Nail Psoriasis Actas Dermo-Sifiliográficas Psoriasis Uñas Enfermedades de las uñas Artritis psoriásica |
| title | [Translated article] Nail Psoriasis |
| title_full | [Translated article] Nail Psoriasis |
| title_fullStr | [Translated article] Nail Psoriasis |
| title_full_unstemmed | [Translated article] Nail Psoriasis |
| title_short | [Translated article] Nail Psoriasis |
| title_sort | translated article nail psoriasis |
| topic | Psoriasis Uñas Enfermedades de las uñas Artritis psoriásica |
| url | http://www.sciencedirect.com/science/article/pii/S0001731022002770 |
| work_keys_str_mv | AT ecanalgarcia translatedarticlenailpsoriasis AT xboschamate translatedarticlenailpsoriasis AT ibelinchon translatedarticlenailpsoriasis AT lpuig translatedarticlenailpsoriasis |