A case of rapid fingernail growth associated with nail psoriasis: A case report

Overall, 80%–90% of patients with psoriasis will have nail involvement at some point during their lifetime, and nail changes, on average, are more common in patients with longer disease duration. Since there is accelerated keratinocyte proliferation and cell turnover in cutaneous psoriasis plaques c...

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Main Authors: Jade Conway BA, Shari R Lipner MD PhD
Format: Article
Language:English
Published: SAGE Publishing 2023-11-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231213149
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author Jade Conway BA
Shari R Lipner MD PhD
author_facet Jade Conway BA
Shari R Lipner MD PhD
author_sort Jade Conway BA
collection DOAJ
description Overall, 80%–90% of patients with psoriasis will have nail involvement at some point during their lifetime, and nail changes, on average, are more common in patients with longer disease duration. Since there is accelerated keratinocyte proliferation and cell turnover in cutaneous psoriasis plaques compared to normal skin, it has been hypothesized that psoriasis increases nail growth rate. We describe a case of a 44-year-old male with a 10-year history of cutaneous and nail psoriasis, with acceleration in nail growth rate for 2 years prior to presentation. Clinical examination of the fingernails showed very long nails with onychorrhexis, onycholysis, and koilonychia and scattered erythematous plaques involving the chest and arms. We report a case of rapid fingernail growth in a patient with a 10-year history of psoriasis with skin and nail manifestations. Our case supports the hypothesis that increased cell turnover in psoriasis patients affects nail growth rate.
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spelling doaj.art-26f6d7d84ba945678710853d8a5ceca32023-11-30T05:34:24ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-11-011110.1177/2050313X231213149A case of rapid fingernail growth associated with nail psoriasis: A case reportJade Conway BA0Shari R Lipner MD PhD1School of Medicine, New York Medical College, Valhalla, NY, USADepartment of Dermatology, Weill Cornell Medicine, New York, NY, USAOverall, 80%–90% of patients with psoriasis will have nail involvement at some point during their lifetime, and nail changes, on average, are more common in patients with longer disease duration. Since there is accelerated keratinocyte proliferation and cell turnover in cutaneous psoriasis plaques compared to normal skin, it has been hypothesized that psoriasis increases nail growth rate. We describe a case of a 44-year-old male with a 10-year history of cutaneous and nail psoriasis, with acceleration in nail growth rate for 2 years prior to presentation. Clinical examination of the fingernails showed very long nails with onychorrhexis, onycholysis, and koilonychia and scattered erythematous plaques involving the chest and arms. We report a case of rapid fingernail growth in a patient with a 10-year history of psoriasis with skin and nail manifestations. Our case supports the hypothesis that increased cell turnover in psoriasis patients affects nail growth rate.https://doi.org/10.1177/2050313X231213149
spellingShingle Jade Conway BA
Shari R Lipner MD PhD
A case of rapid fingernail growth associated with nail psoriasis: A case report
SAGE Open Medical Case Reports
title A case of rapid fingernail growth associated with nail psoriasis: A case report
title_full A case of rapid fingernail growth associated with nail psoriasis: A case report
title_fullStr A case of rapid fingernail growth associated with nail psoriasis: A case report
title_full_unstemmed A case of rapid fingernail growth associated with nail psoriasis: A case report
title_short A case of rapid fingernail growth associated with nail psoriasis: A case report
title_sort case of rapid fingernail growth associated with nail psoriasis a case report
url https://doi.org/10.1177/2050313X231213149
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